Nursing Summit Registration
Friday, August 28, 2026 / Morehead Conference Center / Multiple Presenters
Name
*
First Name
Last Name
Credentials
Birthdate
/
Month
/
Day
Year
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Email
*
example@example.com
Cell Phone Number
*
-
Area Code
Phone Number
Organization
*
What county do you work or attend school in?
*
Please Select
Bath
Boyd
Carter
Clark
Elliott
Fleming
Greenup
Lawrence
Lewis
Magoffin
Mason
Menifee
Montgomery
Morgan
Nicholas
Powell
Robertson
Rowan
Wolfe
Other
If you chose 'other', what county do you work or attend school in?
*
Please choose the profession below that best identifies you.
RN
APRN
LPN
Undergraduate Student
High School Student
Other
If you selected 'other', please list your profession:
*
Credit needed
*
CNE
Certificate of Participation
N/A
Do you consent to your information being shared with other attendees of this event?
Yes
No
Meal Preference
*
Vegetarian
Non-vegetarian
Do you have any food allergies we should be aware of?
*
Yes
No
If yes, please specify:
*
How did you hear about this event?
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