Conference Registration

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Please fill out the registration form below. After submitting the form, you will be redirected to the payment page to complete the registration process and make payment (if applicable).

First Name^*

Last Name^*

Attendees Personal Email^*

Hospital/Facility Name

Are You A HSPA Member?^*

*Membership includes payment of annual certification ($50) along with a $10 annual membership through HSPA.*

HSPA Certification Number (if applicable)

Registration Type^*

Attendance Days^*

*Attendees have the option to choose to attend the conference for one day or both days.*

Payment Options^*

*Once the submit button is pressed, the page will redirect to the PayPal payment page. If payment is made in person, no further action is required until arriving to the conference for payment. If payment is made online via PayPal, payment can be completed on the PayPal payment page.*

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Conference Registration

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