Registration: If you currently hold more than one type of license, please register for the role you most often practice.
First Name *
Last Name *
Degree(s) *
Registration Type *
Street Address *
City *
State *
Zip Code *
Cell Phone ( in case of emergency) *
Fax #
E-mail Address *
Dietary Restrictions

Step 2:  Select Your Breakout Sessions

Friday, April 13, 2012
10:20-11:20 AM *
11:30-12:30 AM *
1:45 - 2:45 PM *
3:25 - 4:25 PM *

Saturday, April 14, 2012
10:30 - 11:30 AM *
11:35 - 12:35 PM *

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