Nannypalooza Registration

* Required fields
Name *
E-mail Address *
Mailing Address *
Phone Number *
Have you attended Nannypalooza previously? *

Are you a *
If you are a nanny what age groups do you care for?
comments
If you are a nanny - how long have you been a nanny?
How did you hear about Nannypalooza?
I am a member of the following nanny support group
	I would like to attend a FRIDAY evening activity. ( Not included in the price of registration. )
	I would be interested in a Saturday Night Outing. ( Not included in the price of conference )
	I would be interested in a Sunday Intensive Training Session ( from 1pm to 4pm) at NO extra charge.
	I would be interested in Infant/Child Red Cross on Sunday afternoon at an additional cost.
Are you a CURRENT NANC member? *	yes no no, but I would like to join at this time! (you will be contacted when we recieve your conference registration for more info)
NANC Membership Payment for new or renewing members
Conference Registration Payment *
I will be paying for my registration via *	PAY PAL (accepts credit cards and electronic checks) Mailing a Check (your registration is not accepted until we have payment)
	Please check here if you will be driving to conference and are willing to help drive people to conference center from hotel.

I have read and agree to the Privacy Policy *

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