NARHC 2024 Spring Institute

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Registration Form

Attendee Registration FormIf paying by check, please use this downloadable registration form.

Attendee Registration Form

Membership

First Name

Last Name

RHC/Organization Name:

Phone Number

Mailing Address

City

State

Zip Code

Payment Information

	Registration Closes March 8*
NARHC Member	$625
Non-Member	$725

Registrant Details

First Time Attendee

Please let us know in advance if you require wheelchair access.

Food Allergies/Restrictions

Vegetarian

Do you plan on attending Monday’s luncheon?

Do you intend on attending Wednesday's sessions?

How did you hear about our conference?

Gender

Age

Job Category

Please Specify the job category

Attendee Badge/APP Information

Information used in our Event App is visible to those who register for either conference.

Preferred Name

Job Title

Credentials

Organization Type

Name of RHC/Organization

RHC/Org’s City & State

Cell Phone # (will not be displayed)

CRHCP Certified

Lunch Assignment

Registrants of the conference will receive an email from our NEW event app vFairs with your login information prior to the start of the conference. For those who have not used our app previously, this is a vital piece that will enhance your experience at our conference. It will also allow you to have the chance to be entered into the conference prize drawings! It is important that you allow notifications from the app.

NARHC reserves the right to use any photographs/video taken during the conference for promotional purposes. By submitting this form, you agree to be photographed and understand the cancellation policy.