REGISTRATION FORM

REGISTRATION FORM

2025 IL NAHRO/ INDIANA NAHRO Conference
Name

First NameLast Name
Title
Organization/Agency
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Are you attending the Active Shooter training?

YESNO
Conference Registration Fees

IL NAHRO Member Early Bird Registration Fee before June 30, 2025.…........... $225Non-Member Registration Fee …………...................................................................$250Late Registration after June 30, 2025................................................................... $325Non- Member Late Registration after June 30. 2025.......................................... $350
Total Amount Enclosed (after June 30th, submit late registration fee)
Conference registration is required! Please photocopy registration form as needed and complete a separate form for each conference attendee. Any Questions? Contact Deb Alfredson, IL NAHRO by email at dalfredson@wchauthority.com.
Please make check payable to IL/IN NAHRO

Mail completed registration form to:

IL NAHRO/IN NAHRO

Attention: 2025 Joint Conference

200 North 11th Street

Springfield, IL 62703
Vegetarian Meals
Food Allergies
Accessibility Needs
Hotel Information:

Holiday Inn Rockford 7550 E State (I-90 & RT 20/State St)

To make reservations on-line:

Kid-Friendly Hotel in Rockford, IL | Holiday Inn Rockford(I-90&Rt 20/State St)
Should be Empty: