Setting The Pace Conference 2023

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• Address 2:
• Address 3:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• * Cell Phone:
• Enter your ENA Number

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  Conference - Member	$245.00
  Conference - Non-Member	$255.00
  Additional Mardi Gras Party Attendee	$25.00
  Pre Conference Wednesday ONLY	$50.00

Business Information

• Company:
• Job Title:
• Department:
• Address 1:
• City:
• State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• ZIP Code:
• Phone:

Badge Information

• Badge Name:

Custom Information 1

• *

  Are you a first time attendee?

  • Yes
  • No
• *

  Do you require a vegetarian meal? (Note: if yes, please notify wait staff)

  • Yes
  • No
• *

  Do you require ADA assistance? (Note: if yes, please notify hotel staff)

  • Yes
  • No
• *

  Conference Registration includes the preconference sessions and Mardi Gras Party - Please check the event(s) you will be attending:

  • Pre Conference - CPEN Review
  • Pre Conference - Boot Camp
  • Conference
  • Mardi Gras Party
• *

  Will you be attending the NYSENA Council Meeting on Wednesday Evening? (April 26th (6 PM – 9 PM) Dinner included)

  • Yes
  • No

Guest Information

You may add a maximum of 6