NEANN | Annual Conference

First Name

Last Name

Title

Your Role:

Full Name of your Employer and Location

Address

City

Zip Code

Personal Email Address

Cell Phone Number

Are you a full time Undergraduate Student?
If so, please enter the name of your University. If not, leave blank.

Tell us about any professional accomplishments or awards you earned in 2024. We will celebrate your accomplishments during the event!

If you have any food allergies or dietary restrictions please list them here.

And finally, help us name our conference cocktail!

It's a smooth, citrusy margarita with tropical vibes—perfect for sipping by the sea! 🍹

Ingredients:

What would you name it? Think NICU, Nurses Week, or Mystic as a theme for this cocktail. There will be an awesome prize for the winner!