Full Conference Registration OR Friday Only Form

November 10-12, 2022
STONEWALL RESORT, ROANOKE, WV

Full Conference:  Members $250.00, Hospitality $15.00 = $265.00
Non-Members $375.00, Hospitality $15.00 = $390.00
Friday ONLY: Member $100.00 + Hospitality $15.00 = $115.00
Non-member $150.00 + Hospitality $15.00 = $165.00

Susan Haslebacher
13 Triune Lane
Morgantown, WV 26508

shasleba@k12.wv.us

NURSES ARE ENCOURAGED TO BRING A LAPTOP/MACBOOK FOR HANDS ON LEARNING WITH WVEIS 2.0 (THIS IS NOT A REQUIREMENT)

PLEASE NOTE IF YOU ARE PAYING ONLINE YOU MUST COMPLETE PAYMENT VIA THE PAYPAL LINK AT THE BOTTOM OF THIS PAGE AFTER SUBMITTING YOUR FORM

    Current WVASN/NASN Member:

    Nationally Certified School Nurse:

    First Time Conference Attendee:

    Friday Awards Luncheon:

    Entrée preference if attending luncheon:

    Friday Hospitality Night (Food and Networking 6:00pm - 9:00pm):

    Food Allergies or Special Diet Orders:

    Payment Method:
    CheckPurchase OrderCredit CardOnline

    Pay Online

    PAY ONLINE for the Full Conference OR Friday Only