Online Conference Registration

Registration deadline is August 26th, 2017. Be sure to proceed with a housing registration after completing this form.


Already registered? Complete your housing application online!

Contact Information
First Name: 
Last Name: 
Address: 
City: 
 
State: 
Zip/Postal Code: 
Country: 
Telephone: 
Email Address: 
 
Please check which of the following applies to you
Christian Science Nurse advertising in The Christian Science Journal?
Christian Science Nurse
(indicate highest level achieved)
 Level 1
 Level 2
 Level 3
 Level 4
Other   -   Please specify:  
 
Registering for the Conference automatically allows CSNN to use photographs taken at CedarS in CSNN materials and to share email addresses with other conference attendees. Other information gathered on this form will not be shared with other organizations or individuals.
 
Conference
 Conference Fee ($300.00)
 Discount for Previous CSNN Board Members (-$100.00)

Payment Method: Credit Card Online (subject to 3% transaction fee)   I will mail a check


Benevolence
Please check the appropriate box(es) if you are seeking or receiving Benevolence from one of the following:

 Albert Baker Fund (ABF)
 Christian Science Nursing Network (CSNN)
 CSN Care Endowment Foundation of Southern California (CSNCE)

See CSNN website for more information: http://csnnetwork.org/conference-2011-funding/
 
Serving at the Conference
Please check any way you would like to serve at the Conference:
 General Volunteer  Setting Up Tables  Runner  Conference Set Up  Clearing Tables  Lead Grace  Conference Disassembly  Housekeeping  Usher  Discussion Leader  Photographer  Musician / Singer  Performer - Instrument