Indiana November 2024 Event

November 18-21

Please enable JavaScript in your browser to complete this form.
Name
Address

Crossroads Emergency Conference

Please Identify Your Primary Clinical Scope of Practice
This would be the scope of practice you feel is your primary work or knowledge.
Please Identify Any Secondary Clinical Scope of Practice
Check all that apply.
Association Membership

Registration Questions

How did you find out about the symposium?
Choose all that apply.

Attendee Options

Opt-Out of The Attendee Directory
Attendee Directory Opt-Out
Check this box if you do not want to have your name and contact information included in the attendee directory. The directory is only provided to event attendees to facilitate networking and is not used for direct or indirect solicitation purposes.
Opt-Out of The Sponsor Directory
Sponsor Directory Opt-Out
Check this box if you do not want to have your registration information (including name, email, and postal address given) included in the list above for event sponsors for purchase.

Registration Type

Attendee - I wish to attend the conference as a participant.
Attendee - Part of the Planning Committee - I serve on the Planning Committee for this conference and am attending the scheduled meetings.
Presenter - First or Primary Presenting Author - I submitted an abstract for the conference and was accepted. I am listed as the lead author on the submission.
Presenter - Co or Secondary Presenting Author - I am listed as a co-author on an abstract and I may be presenting at the conference.

If you are attending the Crossroads Emergency Conference, which day will you be attending lunch?
If you are attending the Crossroads Emergency Conference, do you plan to attend the evening mixer on day one, Thursday, November 21, 2024?

CP-C Bootcamp Indiana Emergency Nurses Association Bootcamp

Nov 19, 2024, 8:00 AM
French Lick Springs Hotel
CP-C Bootcamp Ticket