Online Registration - PAYMENT BY CHECK
If you currently hold more than one type of license, please register for the role you most often practice.
Step 1: Enter Your Personal Information |
| First Name |
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| Last Name |
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| Degree(s) |
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| Registration Type |
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| Street Address |
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| City |
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| State |
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| Zip Code |
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| Cell Phone ( in case of emergency) |
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| Fax # |
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| E-mail Address |
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| Dietary Restrictions |
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Step 2: Select Your Breakout Sessions
Friday, April 13, 2012 |
| 10:20-11:20 AM |
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| 11:30-12:30 PM |
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| 1:45 - 2:45 PM |
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| 3:25 - 4:25 PM |
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Saturday, April 14, 2012 |
| 10:30 - 11:30 AM |
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| 11:35 - 12:35 PM |
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Please make your check payable to TN EMSC Foundation, print agenda page with selected breakout sessions and mail to:
Rhonda Phillippi, RN, BA
TN Emergency Medical Services for Children
2007 Terrace Place
Nashville, TN 37203 |
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