GANS 74th Annual Convention- Early Bird Registration
Please confirm: I certify that I am 18 years of age or older.
*
Yes
No
Do you want to attend the 7:00- 8:45 am Archer NCLEX Review?
*
Yes
No
If you answered yes to the Archer NCLEX Review, you will receive an email with further information.
Back
Next
If you are under 18 years of age, please email SecretaryTreasurer@ganursingstudents.com. A waiver and consent form will be provided. It must be completed prior to registration. Thank you for your cooperation and understanding.
Back
Next
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
NSNA Membership Number
*
If you are NOT an NSNA member, please type N/A.
School Name
*
If you are currently Pre-Nursing, please type Pre-Nursing and your school's name.
Are you on the board of your school's SNA Chapter?
*
Yes
No
If you are on your school chapter's board, please indicate your position title here.
Ex. President
Select your T-Shirt Size
*
S
M
L
XL
XXL
Other
Do you have any food allergies?
*
Yes
No
Please list any food allergies.
By typing your full name in this box, you consent to having your picture taken and posted on social media.
*
If you do NOT consent, please type "NO" and email SecretaryTreasurer@ganursingstudents.com.
Please type your full name if you agree to the terms & conditions.
*
First Name
Last Name
My Products
*
prev
next
( X )
GANS 74th Annual Convention Early Bird Ticket
$50.00
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Should be Empty: