Memorial Hermann

denotes field is required.

Early Bird Pricing through January 31, 2026

Physician / One Day $90.00

Physician / Full Conference $135.00

Nurse/EMS/ One Day $45.00

Nurse/EMS/ Full Conference $67.50

Pricing after January 31, 2026

Physician / One Day $100.00

Physician / Full Conference $150.00

Nurse/EMS/ One Day $50.00

Nurse/EMS/ Full Conference $75.00

Please select an attendee type.

Physician One Day

Physician Full Conference

Nurse/EMS/Student/Other - One Day

Nurse/EMS/Student/Other - Full Conference

Which day are you attending?

	Thursday, March 26, 2026
	Friday, March 27, 2026
	Both, Thursday, March 26th & Friday, March 27, 2026

First name

Last name

Credentials (as it will appear on course certificate)

Email Address

Phone Number

Address

Alt Address 2

City

State/Province

Zip Code

Country

Company/Organization:

Special Dietary needs

Please comment if you require any assistance, needs or accommodations:

In consideration for the opportunity to participate in this event, I agree to RELEASE, DISCHARGE AND AQUIT FOREVER the Memorial Hermann Health System, its subsidiaries, its respective officers, directors, agents, members, and employees from any and all liabilities, claims, causes of action, costs and expenses (including, but not limited to, court costs, penalties, attorneys' fees and disbursements, and amounts paid in settlement) of any kind or character whatsoever, arising out of or relating to my participation. This release includes, but is not limited to, all claims under any state, federal, or local law or regulation and all claims at common law, including without limitation negligence and tort claims, and all claims for damages, exemplary and punitive damages, costs, and attorneys' fees.

I Agree

Please Acknowledge: I have read and understand the education credits and attendance needs for my profession as stated in the education materials.

I Agree

Do you allow Memorial Hermann to share this specific information with associated course instructor and/or associated group affiliated with this course or conference?

Yes No

I agree to receive email communications, including marketing communications, from Memorial Hermann Health System via email or text? (Text charges may apply.)

Yes No

I give my permission for the course organizers to provide my name and contact information to the companies exhibiting and/or providing financial funding to support this symposium?

Yes No

How did you hear about this course? You may select more than one answer.

Email Registration Assistance