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. Scholarship Application: To help facilitate broad participation in our Annual NESD Family Violence Prevention Conference, we are offering a limited number of full scholarships to support those who are unable to attend the event without financial assistance. Our goal is to bring together a wide range of voices and perspectives, enriching our community, and the event experience.Click Here to Apply 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 Add On: Dinner Add On: Silent No More Book by Aaron Fisher and Michael Gillum Registration Type * Group Rate Discount Conference Add On: Dinner Add On: Silent No More Book by Aaron Fisher and Michael Gillum 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 Add On: Dinner Add On: Silent No More Book by Aaron Fisher and Michael Gillum Registration Type * Group Rate Discount Conference Add On: Dinner Add On: Silent No More Book by Aaron Fisher and Michael Gillum 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 Add On: Dinner Add On: Silent No More Book by Aaron Fisher and Michael Gillum 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 Add On: Dinner Add On: Silent No More Book by Aaron Fisher and Michael Gillum 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 Add On: Dinner Add On: Silent No More Book by Aaron Fisher and Michael Gillum 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.
