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Attendee Registration - Capital Health Nurses and Allied Health Professionals
In This Section
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2025 Capital Health’s Annual Continuing Education Conference:
Inspiring Minds, Advancing Medicine Together
March 14-15, 2025
Borgata Hotel & Casino
1 Borgata Way
Atlantic City, NJ 08401
RATES:
Early Bird
(10/1/24 - 11/15/24)
Standard
(11/16/24 - 2/24/25)
Late*
(2/25/25 - 3/7/25)
Nurses and Allied Health Professional
$400
$450
$550
*Hotel rates no longer guaranteed after 2/24/25
Use this form if you are employed by Capital Health in Nursing, Pharmacy, PT, OT, Social Worker, and others within Capital Health network.
Please complete the form below to register for Capital Health’s Annual Continuing Education Conference
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Name
First Name
Last Name
Address
Address
Address 2
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State/Province
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Alabama
Alaska
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Please verify the above information is correct.
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I confirm the above information is correct.
Name of Organization/Affiliation
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Capital Health System
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Provider License Type
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RN
PT
Pharmacy
OT
Social Work
Other…
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Billing Category
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Physicians and Physican Assistants
Nurse, Resident, Allied Health Professional
Capital Health Nurse, Resident, Allied Health Professional
Medical Specialty
Will you attend the FRIDAY evening reception?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
Will you attend the SATURDAY evening GALA?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
I have dietary restrictions
Yes
No
Please specify your restrictions here
Payment
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