25th Annual Update in Acute & Emergency Care Pediatrics Conference – Registration "*" indicates required fields Step 1 of 3 33% AttendanceHow will you be attending?* In Person Virtual Attendee InformationName* First Last Email* Agency/Company*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Dietary Restrictions (For lunch)*VegetarianNone Application for CNE credit has been submitted to the American Nurse Credentialing Center (ANCC). Credits are anticipated but not guaranteed. I have read and agree to the above statement:* Yes Registration type*Physicians, PAs, and APNsNursesFellows/ResidentsAllied HealthEMS ProvidersNon-Licensed StudentsCredit Card*Card Details Cardholder Name Coupon Total CANCELLATION POLICY: Registration fees will be refunded less a $50.00 administrative fee for cancellations received in writing a minimum of 14 days prior to the activity date. No refunds will be given when the registration fee is $50.00 or less, or when a cancellation request is received less than 14 days prior to the start of the activity. Children's Emergency Care Alliance reserves the right to alter, reschedule or cancel this program. If an activity is cancelled, then a full refund of registration fees will be given.I have read and agree to the above statement:* Yes Δ