2026 ENPC Registration

Cost of course: $350

Registration form must be submitted at least 10 weeks prior to the course date.

Course fees must be received NO LATER THAN 6 weeks prior to the course date, or you will be removed from the course.

No refunds will be issued for cancellations made within 30 days of the course date.

Course fees include the course materials.

Course materials will be mailed to the address provided below 30 days prior to the course date.

If you have any questions or concerns, please contact our chapter at indianaenachapter365@gmail.com.

ENPC Course Dates & Locations*

February 26 – 27, 2026 at Lutheran Education CenterMarch 17 – 18, 2026 Live, Virtual CourseApril 27 – 28, 2026 at Parkview Regional Medical CenterMay 13 – 14, 2026 Live, Virtual CourseJune 18 – 19, 2026 at Lutheran Education CenterJuly 21 – 22, 2026 Live, Virtual CourseAugust 3 – 4, 2026 at Parkview Regional Medical CenterOctober 29 – 30, 2026 at Lutheran Education CenterNovember 17 – 18, 2026 Live, Virtual Course

Is this your initial certification or recertification?*

Initial CertificationRecertification

Name*

First NameLast Name

Email (personal email preferred due to employer firewalls)*

ALL course communication and pre-course work will be sent to this address

Phone Number*

Address*

Street Address (physical address only; no PO Box)

Apartment/Unit Number

CityState

Zip Code

Book Preference*

Printed BookElectronic Book

Payment Information

Ways to pay for the course:

Employer covering cost of course
- An invoice will be emailed directly to you and your manager
Check
- Make checks payable to: Northeast Indiana ENA
- Mail checks to: McKenzy McMullen, 15481 Towne Gardens Ct, Huntertown, IN 46748
- A receipt will be emailed upon receiving a personal check in the mail
Credit Card - will include a processing fee
- Checkout and pay with a card at the bottom of this form

Method of Payment*

My employer is covering the cost of the courseCheckCredit Card (checkout below)

Employer*

Department*

Manager Name*

Put "N/A" if you will be paying by check or credit card

Manager Email*

Put "N/A" if you will be paying by check or credit card

Credit Card Payment

ENPCIncludes processing fee

$360.75

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay