Registration Form: PNAOW Healthy, Heart Healthy
A continuing nursing education event organized by the Philippine Nurses Association of America--Oregon & Washington chapter
February 22, 2020
12:00- 4:30 PM
1.5 contact hours
PEACEHEALTH SOUTHWEST MEDICAL CENTER
Health Education Center
400 NE Mother Joseph Pl
Vancouver, WA 98664
If able, please bring a healthy dish to share for potluck.
First and last name
Current place of employment & job title
Are you a current member of the Philippine Nurses Association-Oregon & Washington chapter?
No, but interested in becoming a member.
Participant is aware of the potential dangers incidental to engaging in the fitness activities in the event. Participant agrees that this is a release of liability, a waiver of the participant's legal right to collect damages in the event of any accident, injury, illness, death, loss, damage to person or property, or other consequences suffered by the participant or any other person arising or resulting directly or indirectly from the participant's participation in the event.
Your registration is not complete until the registration fee has been received. You will receive an email confirmation within 2-3 days of receipt of your payment. If you are not a current member of PNAOW and interested in becoming a member, please proceed to the next form. Check out our website www.pnaow.org for details.
Apple Pay: text 503-505-2312
Cancellation and Refund Policy
The registration fee less $10.00 administrative fee will be refunded upon receipt of an emailed request to
on or before February 15, 2020. No telephone cancellations accepted. No refunds after February 15, 2020.
The Philippine Nurses Association of America Foundation is an approved provider by the California Board of Registered Nursing, CEP#14134 – 1.5 contact hours.
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