Mind Bending Careers 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 April 13th, 2020.
Event Timing: April 20, 2020 8:30 AM REGISTRATION - CONCLUDES AT 4:00 PM
Event Address: Younes Conference Center:  416 W Talmadge Rd, Kearney, NE 68845
Contact us at 402.471.4813 or carol.packard@nebraska.gov for any questions.
Sign in to Google to save your progress. Learn more
Email *
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.
Phone Number *
School or Organization *
How many students will be attending?   *
Please send an Excel Spreadsheet list students/advisers/chaperones attendees to carol.packard@nebraska.gov no later than April 13th, 2020.
Dietary restrictions - Add Name in w/ restriction *
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
Required
Additional Information to add
Please use this to add additional advisers/chaperone information, questions, etc.
Room Block information is located at www.nehosa.org under "events" tab.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy