REGISTRATION: PSU Healthy Living Summit Thursday, October 5, 2017 Plymouth State University, Merrill Place Conference Center
Building Healthy People in a Healthy Place: Empowering individuals, Inspiring Health, Embracing wellbeing! The Summit is sponsored by Healthy PSU, Plymouth State University's award-winning health and wellness campaign and is offered at no-cost to everyone! Limited seating available on a first come first serve basis. Registration deadline is September 29.The first 200 registrants will receive a copy of The Blue Zones Solution book by Dan Buettner, New York Times Best-Selling Author! Questions? healthy-psu@plymouth.edu
7:00-8:00 am Registration Check-in/Breakfast ~ 8:00 am-12:00 pm ~ Summit Presentations ~ 12-00-1:00 pm Exhibits, lunch & networking ~ 1:00-1:30 pm On the Move University Walk
FIRST Name (as it should appear on conference badge)
Your answer
LAST Name (as it should appear on conference badge)
Your answer
Degree or Credentials
Your answer
EMAIL
Your answer
PHONE
Your answer
ORGANIZATION, COMPANY or AFFILIATION
Your answer
JOB TITLE (or if you are a student, write student)
Your answer
Which best describes you?
Mailing Address Line 1
Your answer
Mailing Address Line 2
Your answer
City/Town
Your answer
State
Your answer
Zip / Postal Code
Your answer
Summit Registration Options
How did you learn about the summit
Required
Special Dietary Needs -
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms