Louisiana Association of Student Nurses

Louisiana Association of Student Nurses 63rd Annual State Convention Renaissance, Baton Rouge, LA October 5-7, 2017

“Nursing Unmasked: Revealing Nursing’s Potential”

Registration takes place in the Renaissance Hotel, Baton Rouge, LA, beginning at 3pm on Thursday October 5th, 2017. Registration hours are listed on the Tentative Convention Schedule. Only one person may register per form. This form can be photocopied. If you are a member of NSNA, you are automatically a member of LASN. NSNA membership and sustaining members must show proof for membership (current NSNA membership card) as well as proof of student status (student ID card) when picking up name badges. Registration must be submitted online by September 8th, 2017.

LASN MEMBERS / SUSTAINING MEMBERS / LSNA MEMBERS Fee includes Convention T-shirt. Advanced registration guarantees a T-shirt. If paying on site, T-shirts will be given on a first come, first serve basis.

Convention and NCLEX-‐-RN mini review courses ($75)

$75 Non-‐-member / Students / Visitors

Convention $85

High School Students $30

Faculty Advisor/ Consultants $60

Method of payment:

Credit Card (add 3.5% tax) Please Check:

NSNA Member School Advisor

LSNA Member (RN) Sustaining Member

Membership #: Expiration Date:

T-shirt Size: XS S M L XL

XXL Saturday Night Awards

Banquet YES NO Please Print:

Last First MI

Address: City:

State: Zip Code: Phone:

Email:

School of Nursing: Mon./Year Graduation:

School City:

If you have any special requirements under the ADA, please attach a note of explanation. Special needs must be received at LASN before September 8th, 2017.