Registration
Pediatric Palliative Care Conference,
Friday, November 2, 2018
MSU Union, Abbott Road, Michigan

Your entry here is also the basis for conference name tags.
"Suffix/degree" refers to letters after your name.
If, for example, you enter "Dr.", your name will show as "John Doe, Dr."
Will you need a Certificate of Continuing Education? *
If "Yes", please state which category?
Are you an individual member of the Coalition or an employee of a Sustaining Member? *
Choose registration category *
NOTE:
Corporate members should notifiy us directly the names of their official representatives by emailing us at richard@childpalliative.org to include name, title, and email address.
Click "Continue" to proceed to payment page
(Your payment by credit card completes the registration process)