School Nurse and Health Professionals Round Table

For: School Nurses and Health Professionals

Chatham Day School

700 Shunpike Rd.

Chatham Township, NJ 07928

Thursday, April 26, 2018

4:15 p.m. - 7:00 p.m.

Join School Nurses from across the association to explore issues and ideas related to health, wellness, and nursing support at your school. This Round Table is an opportunity to connect, reflect, and collaborate in order to embolden this area for all of our schools.

Registration Fee: $50 Member Schools; $100 Non-Member Schools

Registration Form

Please complete the registration for this workshop below:

Registrant #1:

First Namerequired

Last Namerequired

Emailrequired

Position/Titlerequired

Grade Levels Taughtrequired

Dietary Restrictions

Vegetarian Gluten-free

Registrant #2:

First Name

Last Name

Position/Title

Grade Levels Taught

Dietary Restrictions

Vegetarian Gluten-free

Registrant #3:

First Name

Last Name

Position/Title

Grade Levels Taught

Dietary Restrictions

Vegetarian Gluten-free

Registrant #4:

First Name

Last Name

Position/Title

Grade Levels Taught

Dietary Restrictions

Vegetarian Gluten-free

Registrant #5:

First Name

Last Name

Position/Title

Grade Levels Taught

Dietary Restrictions

Vegetarian Gluten-free

Member and Non-Member School Information:

Name of School or Organizationrequired

In the event of a schedule change or program cancellation, what is the best phone number to reach you?required

Non-Member Schools Only: Please provide additional information below:

Non-Member School/Organization Address

Address 2

City

State

Zip

Non-Member School/Organization Phone Number

(where we can reach you and for billing questions)

MEMBER INFORMATION:If your school is a member* of NJAIS, upon receipt of your registration, we will automatically generate an invoice, and send it to your Business Office. Payment is not required at the time of your registration. Your school will have 30 days to pay the invoice.

*All employees of NJAIS Member schools qualify for the member rate.

NON-MEMBER INFORMATION: If you are an employee of an organization or school that is NOT a member of NJAIS and you are registering for this workshop, please provide the company/school address. We will automatically generate an invoice and send it to your Business Office. Payment is not required at the time of your registration. Your school will have 30 days to pay the invoice. Thank you.

Cancellation Policy:

For Round Tables: Registration fees will only be refunded if NJAIS is notified of your cancellation one week prior to the program.

For Workshops, Conferences, and Retreats: Registration fees will only be refunded if NJAIS is notified of your cancellation two weeks prior to the program.

In the event of inclement weather, programs may be delayed or postponed.

Please send a confirmation email to the address below*: