2023 Winter Workshop Registration

Pricing

Registration Pricing Price

Member $200

Non-Member $250

Student $50

All amounts are in USD.
Your Information
Name*
First Last
Badge Name*
Credentials*
AANA #
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*

This email address will be used for all correspondence for your registration.
Exhibitor Opt-In
- Please send me exhibitor email correspondence.
Conference Registration Information

Please select you registration type:
Conference Level*
Hotel room block closes Friday, January 21, 2022. Please make your hotel reservation online HERE, or call the Westin Richmond at 1-888-627-7786 and reference Virginia Association of Nurse Anesthetists.
VANA District

VANA District
First Time

Are you a first time attendee?
Reference

How did you learn about the conference?
Dietary Restrictions

Do you have any dietary restrictions?
Restriction Descriptions

Please let us know how we can accommodate your dietary needs.
VANA Gem

Are you a VANA Gem (monthly recurring contributor to the Virginia CRNA-PAC)?
Gem Level

What Gem level are you?
- Diamond ($100+/month)
- Emerald ($75-$99/month)
- Sapphire ($50-$74/month)
- Ruby ($25-$49/month)
- Amethyst (<$25/month)
COVID-19 Release & Hold Harmless Agreement
REQUIRED RELEASE

By submitting this registration, I affirm I have read and agree to the following terms:

COVID-19 RELEASE & HOLD HARMLESS AGREEMENT: By registering and attending a Virginia Association of Nurse Anesthetists (VANA) event/meeting you acknowledge that there is an unknown risk of exposure to COVID-19 through exposure to contaminated objects, as well as through personal contact. Such exposure carries with it a certain degree of risk that could result in illness, disability or death. You agree to release and hold harmless VANA, its employees, officers, and vendors from and against all claims of damages and liability resulting from exposure to COVID-19. Registrants/Attendees also warrant they are abiding by their state/locality laws regarding COVID-19 restrictions.
COVID-19 Release & Hold Harmless Agreement*
- I agree
Cancellation Policy

Any cancellations must be made in writing, via email, by January 23, 2023. No refunds will be granted after that date. To cancel, please email info@virginiacrna.org.
Total

Total Amount Due
$0.00
Payment

If you have any amount due above, you will be redirected to PayPal to complete the Payment process upon clicking the button below. Registrations are not submitted until the payment process is complete.
If you have no amount due above, your registration will be completed and submitted upon hitting the button, and you will not be redirected to PayPal.

Registration Pricing	Price
Member	$200
Non-Member	$250
Student	$50

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2023 Winter Workshop Registration

2023 Winter Workshop Registration

Pricing

Your Information

Conference Registration Information

COVID-19 Release & Hold Harmless Agreement

Cancellation Policy

Total Amount Due

Payment

Donate to the CRNA-PAC Today!