Women's Health Conference:
REGISTRATION

Please complete one registration form for each registrant.

 
Name  Preferred Name for nametag if different:
Address
City 
State  Zip
Phone 
Email  Confirmation of registration will be emailed if email address if provided.

If you are requesting CME/CEU please provide license #:

Once you have finished filling out the registration form, please click the "Submit" button below.

To register by mail, please click here for a printable version of the registration form.

 Registration Fees are as follows:

EARLY Registration Fees are as follows:

$30.00 for healthcare professionals seeking CME/CEU
$10.00 for community members
  $5.00 for high school students

AFTER October 3rd
$40.00 for healthcare professionals
$20.00 for community members
$10.00 for high school students

Please send payment to:

Greeley County Health Services
PO Box 97
Sharon Springs, KS 67758

OR

You may also pay online using PayPal after submitting this registration.
 

Conference Hosts include:

Greeley County Health Services,
KU Medical Centers Area Health Education Centers,
and KU Schools of Nursing and Family Medicine.

 

Women's Health:


 Overview
Patient Education

Community Health Resource Specialist
Women's Health Conference