Providing caregivers with information, resources and support.

Registration Form

Home Registration Form

Nevada Caregivers Coalition

Caregiver Recognition Luncheon 2019

11:30AM – 1:30PM
Thursday, November 14
Atlantis Hotel Casino Reno, Nevada

Are you nominating a Caregiver and/or Business?
• If Yes, go to Nomination Form;
• If No go to Sponsorship Form

Nomination Form

Are you going to be a Sponsor?
• If Yes, continue with Sponsorship Form
• If No, go to Registration Form

Sponsorship Form

Are you registering to attend the Caregiver Recognition Luncheon?
• If Yes, go to Registration Form

Registration Form

Before you begin, we recommend you have the following information readily available:

  • Name, email and phone number of each of your guests

    • The Names provided will be used for name badges, so please identify specific individuals if possible. In the event you do not know the names of your guests, please identify your guest on the registration form below as “Guest #1, Guest #2, etc.” Then send a list of your guests to caregiverrecognition@gmail.com by October 31, 2019.

  • Debit/credit card for payment

Please be sure to complete all required fields throughout the process to streamline your experience.

AFTER SUBMITTING THE ONLINE FORM, WAIT TO BE REDIRECTED TO THE PAYPAL PORTAL TO COMPLETE YOUR PAYMENT.

Your Registration will not be complete if your payment is not processed through PayPal.

Fill out my online form.
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