2020 Winter Symposium Registration Form

2020 Winter Symposium and Legislative Event
March 3-4, 2020
Sheraton on Capitol Square and The Ohio Statehouse
This year, if more than one person will be attending from your department, you will save money! Please select the number of attendees, and then fill in the information below for each registrant.
Were you referred by someone to register for this year's symposium? If so, please enter their name here:
Referral
Select Registrant Type
Symposium
1st Attendee
Position or Rank
First Name
Last Name
Department
Address
City State Zip
County
OFCA District
State Representative
State Senator
Email
2nd Attendee
Position or Rank
First Name
Last Name
Department
Address
City State Zip
County
OFCA District
State Representative
State Senator
Email
3rd Attendee
Position or Rank
First Name
Last Name
Department
Address
City State Zip
County
OFCA District
State Representative
State Senator
Email
CANCELLATION POLICY: Cancellations received prior to seven (7) days before the event will receive a full refund less a $10.00 administrative fee. Cancelled registrations received within one week of the date of the activity and no-shows are non-refundable.
   - denotes required fields