Event Registration Details
This registration is for all students, advisers, chaperones, or organizations that are non-registered HOSA members.
Registration fee is $15.00/person which includes lunch and materials for the experience.
Registration Closes January 17th, 2020.
Event Timing: January 24, 2020 8:30 AM REGISTRATION - CONCLUDES AT 3:00 PM
Event Address: Younes Conference Center: 416 W Talmadge Rd, Kearney, NE 68845
Contact us at 402.471.0953 or sarah.pracheil@nebraska.gov for any questions.
Email address *
Event Sponsor
Main Contact Name (Adviser/Chaperone) *
If there is more than 1 adviser/chaperone attending, please list the main contact here and the other person in the additional information field at the end.
Your answer
Phone Number *
Your answer
School or Organization *
Your answer
How many students will be attending? *
Please send an Excel Spreadsheet list students/advisers/chaperones attendees to sarah.pracheil@nebraska.gov no later than January 17th, 2020.
Your answer
Dietary restrictions - Add Name in w/ restriction *
Your answer
I understand that payment needs to be sent to Grafton and Associates prior to attending. No payments can be accepted day of event. *
Send payment to: Grafton & Associates Attn: Denise Winters 5935 S 56th St # A, Lincoln, NE 68516
Additional Information to add
Please use this to add additional advisers/chaperone information, questions, etc.
Your answer
Room Block information is located at www.nehosa.org under "events" tab.
Your answer
A copy of your responses will be emailed to the address you provided.
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