Kansas 2023 Breastfeeding Conference

October 26-27, 2023
Drury Plaza Hotel, Wichita

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* 1. I am registering for:

You will pay at the end of this survey.
Need to pay by check? Complete the registration below and download the fillable invoice HERE. NOTE: You will still be asked to pay by credit card at the end of this form but you can exit the form without payment.

Cancellation
Policy: Registrations canceled on or before October 15, 2023, are refundable but subject to a $25 administrative fee. Registrants canceling after October 15, 2023, will not receive a refund. The refund and cancellation policy will not be waived.

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* 2. First Name (as it appears on your license if applicable)

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* 3. Last Name (as it appears on your license if applicable)

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* 4. Email

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* 5. Name of your organization/employer (if applicable)

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* 6. Kansas Nursing License # (if applicable, for RNs, APRNs, LPNs)

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* 7. Kansas Dietitian License Number # (if applicable)

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* 8. Name on credit card if different than the person registered.

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