University of Massachusetts Medical School
Chief Resident Immersion Training (CRIT) in the Care of Older Adults

Cliff House Resort & Spa in Ogunquit, Maine
Friday afternoon, May 17th, through Sunday afternoon, May 19th

Sponsored by Advancing Geriatrics Education (AGE): A UMMS educational initiative funded by the Donald W. Reynolds Foundation


REGISTRATION & RESERVATION FORM

PART 1 (of 3)

When you have completed the CRIT registration and room reservation information, click the Submit Information button at the bottom of this page. Your registration information will be sent to Colleen Burnham, UMMS CRIT.


UMMS CRIT Registration Information

Full Name* 

  

Street Address

City/Town

State

Zip Code

Pager Number

Home/Cell Phone

In what capacity are you attending UMMS CRIT?

What is your sub-specialty?

What is your Residency Program?


 Cliff House Reservation Information

Will you be bringing your family or a guest?*

Number of adults (including you)

Number of children under 12 years

*note If you plan to bring your family, please contact Colleen Burnham (UMMS CRIT) to provide more detailed reservation information

Do you (or your guest(s)) have any dietary restrictions?


Weekend Menu

Make Saturday Dinner selections below for yourself and one guest

~Friday~
(participants only)
Buffet Dinner

~Saturday~
Cliff House Continental Breakfast (participants only)
Boxed Lunch (participants only)

Dinner
(participants & guest)

First Course
Lobster Bisque

Second Course
Cliff House salad: baby greens, cranberry Stilton, spiced walnuts, blueberry vinaigrette

Entrée selections
Parmesian Herb Encrusted Chicken
roasted baby carrots, chevre cream, couscous, marsala chicken jus
Salmon Wellington
seared in olive oil over wilted baby spinach, grape tomatoes, buttery puff pastry, dill pesto

CRIT Participant Entrée selectionGuest Entrée selection

~Sunday~
Breakfast
Buffet (participants only)
Boxed Lunch (participants only)


 

Questions, Comments, Concerns...?

  

For additional CRIT program informationFor additional Cliff House reservation information
Gary Blanchard, MD
Geriatrics Clinical Faculty
UMMS Office of Educational Affairs
Gary.Blanchard@umassmed.edu
508.856.4250
UMMS S1.143
Colleen Burnham, MBA
UMMS CRIT
UMMS Office of Educational Affairs
Colleen.Burnham@umassmed.edu
508.856.5137
UMMS S1.165