2025 Conference Registration

CONFERENCE REGISTRATION FEE:

Early Bird Registration Ends: May 16, 2025
All Registration Ends: June 20, 2025

REGISTRATION INCLUDES MEALS AND LIGHT SNACKS:

Friday 7/11/2025: Dinner Buffet
Saturday 7/12/2025: Continental Breakfast, Box Lunch and Dinner Buffet
Sunday 7/13/2025: Continental Breakfast

Registration fees are non-refundable after June 20, 2025.

Registrations received after June 20, 2025 will only be processed if space is available.

Name(Required)

First Last

Credentials(Required)

Nursing Specialties(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Parish(Required)

Diocese(Required)

Emergency Contact Name(Required)

First Last

Relationship(Required)

Emergency Contact Email(Required)

Emergency Contact Phone(Required)

Regular Diet(Required)

Yes

No

Gluten Free(Required)

Yes

No

Food Allergies(Required)

Yes

No

If Food Allergies, please list

Registration Type(Required)

Total

Credit Card(Required)