Registration Form 2025 Registration Form 2025 Register for the conference! Once the form has been completed, you can choose to continue on to PayPal (where you can pay with a credit card) or to be emailed an invoice. Please note that refund requests will not be accommodated for cancellations made within four weeks of the event. If you have any further questions, please email us at nesdfamilyviolenceconference@gmail.com. How many people will you be completing registration for? * Name * Name First First Last Last Email * Registration Type (Please ensure box is checked next to Conference) * Conference Registration Type * Group Rate Discount Conference Please list any dietary restrictions: Employer * Position * Continuing Education * NoSocial Work/CounselingLawyerLaw Enforcement Additional Attendee * Additional Attendee First First Last Last Email * Registration Type * Conference Registration Type * Group Rate Discount Conference Please list any dietary restrictions: Employer * Position * Continuing Education * NoSocial Work/CounselingLawyerLaw Enforcement Additional Attendee * Additional Attendee First First Last Last Email Registration Type * Group Rate Discount Conference Please list any dietary restrictions: Employer * Position * Continuing Education * NoSocial Work/CounselingLawyerLaw Enforcement Additional Attendee * Additional Attendee First First Last Last Email Registration Type * Group Rate Discount Conference Please list any dietary restrictions: Employer * Position * Continuing Education * NoSocial Work/CounselingLawyerLaw Enforcement Additional Attendee * Additional Attendee First First Last Last Email Registration Type * Group Rate Discount Conference Please list any dietary restrictions: Employer * Position * Continuing Education * NoSocial Work/CounselingLawyerLaw Enforcement Total Payment Method * Continue to PayPal (you may also pay with a credit/debit card) Please Email an Invoice (this will be emailed to you upon submission) Where did you hear about our conference? (Check all the apply) Online Search NESDFVP Email I have attended previously Social Media Coworker OtherOther Your registration authorizes pictures taken during the event to be used for future marketing materials. Submit Hidden Product Hidden If you are human, leave this field blank.
