NAPSEC Annual Leadership Conference Registration Form

2025 NAPSEC Annual Leadership Conference

REGISTRATION FORM

January 19-12, 2025

The Hotel Monteleone
New Orleans, LA

Please note each attendee must complete an online registration. If you would like to register a large group of attendees from your program, please contact us so we can help at napsec@napsec.org. Take advantage of our discount for programs sending more than one attendee!

Name*

FirstMiddleLast

Email for confirmation and conference news*

Location of Program (State)

Agency/Program

Phone number*

Area CodePhone Number

Are you a member of NAPSEC?*

YesNoI'm not sure

Are you a first time attendee?*

YesNo

Would you like a mentor during the conference?

YesNo

Please indicate any food allergies or dietary restrictions*

Please indicate any ADA accommodations needed to participate in this conference

Contact Information Sharing Opt-In*

I would like NAPSEC to share my name, agency/program name, location and email address, as reflected on this registration form, with other conference attendees. I understand that all NAPSEC conference attendees will receive this information to help support follow up communication and networking.I do not want NAPSEC to share my contact information with other conference attendees.

Conference Photo Release Acceptance*

NAPSEC will take photos of attendees throughout the conference. These photos are for NAPSEC use only and may appear on the NAPSEC website, newsletter, conference brochures, social media outlets, or other future NAPSEC promotional material. By virtue of your attendance, you agree to usage of your likeness in such media.

Select Payment Method to View Fees*

Credit CardMailing a Check

NAPSEC Annual Leadership Conference Registration

NAPSEC Member Registration - $800Additional Attendee from NAPSEC Member Program - $650 (bring your program colleagues and get a discount!)First time conference attendee - $625Non-Member Registration - $950Voluntary Foundation Contribution - $100 Please add a voluntary contribution of $100 to my registration fee to support the NAPSEC Foundation and the NAPSEC AwardeesFull Guest Registration Fee - $350 (indicate guest's name below) - Guest options are only for family and/or friends who come to the conference with an attendee. The Full Guest Fee includes (3) breakfasts, (3) breaks and a conference program and participation in the Welcome Reception, NAPSEC Happy Hour & Exhibitor Showcase, and the Awards Luncheon.Guest Fee - $75.00 - (indicate guest's name below) – Welcome Reception (Sunday evening)Guest Fee - $60.00 - (indicate guest's name below) – NAPSEC Happy Hour & Exhibitor Showcase (Monday evening)Guest Fee - $75.00 - (indicate guest's name below) – Awards Luncheon (Tuesday)

Total

REGISTRATION FEES

NAPSEC Annual Leadership Conference Registration*

First Time Conference Attendee Registration$625.00

NAPSEC Member Registration $800.00

NAPSEC Member Registration - Additional attendee from member program$650.00

*Please note - each Attendee from a Member Program must register separately* Bring your program colleagues and get a discount!

Non-Member Registration - $950.00

Foundation Voluntary Contribution - Please add a voluntary contribution of $100 to my registration fee to support the NAPSEC Foundation and the Annual Awardees$100.00

Full Guest Registration Fee (indicate guest's name below) - Guest options are only for family and/or friends who come to the conference with an attendee. The Full Guest Fee includes (3) breakfasts, (3) breaks and a conference program and participation in the Welcome Reception, NAPSEC Happy Hour & Exhibitor Showcase, and the Awards Luncheon.$350.00

Guest Fee (indicate guest's name below) – Welcome Reception.$75.00

Guest Fee (indicate guest's name below) – NAPSEC Happy Hour & Exhibitor Showcase.$60.00

Guest Fee (indicate guest's name below) – Awards Luncheon.$75.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

GUEST REGISTRATION

Guest Name

Please indicate any food allergies or dietary restrictions

THANK YOU FOR YOUR REGISTRATION!

Cancellations received before December 13, 2024 will be refunded in full less a $25 handling fee. No refunds will be given after December 13, 2024.

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