×
Hybrid Elder Care Symposium 2024 NJ & PA
×
Login
Email:
First Name:
Last Name:
Company Name:
Address:
Phone:
×
Reset Password
Email / Username:
New password:
Confirm password:
×
Reset Password
Email / Username:
×
Hybrid Elder Care Symposium 2024 NJ & PA
Need Technical Assistance?
rothkoffsymposium@getvfairs.io
Toggle navigation
x
Home
About
Resources
Pdf
Pdf
Pdf
Agenda
Sponsors
FAQ
Register
Login
Listen
Listen
A
Listen
Registration Form
IN-PERSON EVENT TICKET
IN-PERSON Attendance
$50
Select
VIRTUAL EVENT TICKET
VIRTUAL Attendance
$35
Select
Registration form
Ticket Type
Select Ticket Type
In-Person Attendance ($50)
Virtual Attendance ($35)
First Name
Last Name
Email
Cell Phone
How did you hear about this event?
Please Select
Postcard Mailer
Website
Social Media
Rothkoff Staff Member
Previous Event
Flyer
Other
Tell us how you heard of this event.
Are you attending as part of the general public or professional working in the healthcare industry?
Please Select
General public
Health Care Professional (Licensed and Non-Licensed Professionals)
What is your job title?
What is your company name?
What is your company address?
What is your company phone number?
Will you require a CE certificate for attending this Symposium?
Please select
Yes, I will require a CE certificate
No, I do not need CE’s
Which license type are your supporting?
Please select
Assisted Living Administrator (CALA)
Nursing Home Administrator (LNHA)
Social Work (SW)
Case Management (CMC)
Registered Nurse (RN)
Patient Advocate (PA)
Human Resources (SHRM-SCP)
What is your license number(s)?
Are you a member of NASW?
Please Select
No
Yes
NJ
Yes
PA
What is your home address?
What is the best phone number to reach you?
What is your first choice Breakout Selection?
Please select
The Present and Future of Artificial Intelligence and How it Affects Elder Care presented by Dr. Mathias Unberath
Managing Health Care Costs in Retirement presented by Stephen Gilbert
Innovations to End of Life Planning by Jill McClennen and Chelsea Duckers, BSW, CSW, CECC
Do you have any dietary restrictions?
Please select
Yes
No
We will do our best to accommodate, please let us know your dietary restrictions.
Additional terms & conditions
Each Registrant must reflect unique attendee information (duplicate registrations will not be accepted). If you are registering multiple people; please assign each of them their Own Name and Email in order for everyone to be granted access to the Symposium.
Please check all your information is entered correctly as reminder emails will be sent as we get closer to the event date.
Yes, I have proofed all information and ensured it was entered correctly.
Packages
Select Package
0.0
0.0
Payment Section
Select Payment Method
PayPal 3D Secure (PayPal)
×
Pay using Paypal
×
Loading...
×
Ticket
Are you sure you want to change your ticket selection ?
×
Affini Pay
Credit Card
Exp Month
Exp Year
CVV
Zip Code
Address
Amount
Please fill valid information