Communities of Interest:

Did You Know?

The process of taking the footprints of each newborn to establish identity was developed by 1944-45 HASC Chair Ritz Heerman, superintendent of California Hospital Medical Center.

Event Registration

Event Registration Form
Developing, Measuring and Documenting Employee Competence

Hilton Pasadena
168 S. Los Robles Avenue
Pasadena, CA 91101

Wednesday, May 16, 2007
(Nurse Managers/Directors)

Please fill in the form below and click the "Continue" button.
Required fields are labeled in red.

Primary Contact Name
E-mail Address
Organization Name
Organization Address
Organization City
Organization State
Organization Zip
Phone(incl. area code)
Fax(incl. area code)

You can pay for your registration online using your credit card and our secure server, or you can choose an alternate method of payment.

Credit CardSend CheckPurchase Order

Other Method of Payment(Please include a brief explanation in the space provided.)

Attendee Information

Full Name
Name on Badge(nickname)
Title
Registration Fee
E-mail Address
Phone(incl. area code)
Fax(incl. area code)

HASC Member CEU Sign-up
(Provider approved by the California Board of Registered Nursing. CEP #970 for 4.00 contact hours.)

ACHE Category II Credit (4.00 hours)BRN Credit

RN License Number

IMPORTANT REMINDERS

Faxed, emailed and online registration forms without credit card payment information will not be processed until payment is received.

Fee is due and payable by May 9, 2007. Cancellations will be accepted at no charge through May 9, 2007. Later cancellations and non-attending registrants will be invoiced for the entire registration fee. Substitutions are accepted at any time.

QUESTIONS?

Call Karen Ochoa at HASC (213) 538-0765
E-mail: kochoa@hasc.org
Fax: (213) 482-8537

Americans with Disabilities Act: The Hospital Association of Southern California ensures that no individual with a disability is excluded, denied services, segregated or otherwise treated differently than other individuals because of the absence of auxiliary aids and services. If you require any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend these programs, please call (213) 538-0765.

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Communities of Interest:

Did You Know?

Event Registration

Event Registration FormDeveloping, Measuring and Documenting Employee Competence

Hilton Pasadena168 S. Los Robles AvenuePasadena, CA 91101

Wednesday, May 16, 2007(Nurse Managers/Directors)

Event Registration Form
Developing, Measuring and Documenting Employee Competence

Hilton Pasadena
168 S. Los Robles Avenue
Pasadena, CA 91101

Wednesday, May 16, 2007
(Nurse Managers/Directors)