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Attendee Registration - Capital Health Nurses
In This Section
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2026 Capital Health’s Annual Continuing Education Conference: Learn. Connect. Transform Care.
May 1-2, 2026
Borgata Hotel & Casino
1 Borgata Way
Atlantic City, NJ 08401
RATES:
Early
Through 12/1/2025
Standard
12/2/2025-3/31/2026
Late
4/1/2026-4/24/2026
On-Site
4/25/2026-5/2/2026
Nurses
$450
Saturday Only:
$300
$500
Saturday Only:
$325
$600
Saturday Only:
$350
$700
Saturday Only:
$375
Use this form if you are employed as a Nurse (RN) in the Capital Health network.
Please complete the form below to register for Capital Health’s Annual Continuing Education Conference.
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First Name
Last Name
Address
Address
Address 2
City/Town
State/Province
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Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East
Armed Forces Americas
Armed Forces Pacific
California
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Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
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Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
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New Mexico
New York
North Carolina
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Northern Mariana Islands
Ohio
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South Carolina
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Tennessee
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ZIP/Postal Code
Phone Number
Email Address
Please verify the above information is correct.
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I confirm the above information is correct.
Name of Organization/Affiliation
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Capital Health System
Ticket Type
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Full 2 Days - $450
Saturday Only - $300
Medical Specialty
Medical Specialty
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Anesthesiology
Cardiology
Cardiac Surgery
Dermatology
Emergency Medicine
Family Medicine
General Medicine
General Surgery
Internal Medicine
Neurology
Obstetrics/Gynecology
Oncology
Orthopedic Surgery
Pediatrics
Plastic Surgery
Primary Care
Psychiatry
Radiology
Vascular Surgery
Other…
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Provider License Type
Provider License Type
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RN
Other…
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Will you attend the FRIDAY evening reception?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
Will you attend the SATURDAY evening GALA?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
Dietary Restrictions or Food Allergies
Yes
No
Please specify your restrictions here
Please specify your restrictions here
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Vegetarian
Vegan
Gluten Free
Dairy Free
Nut Free
Other…
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Payment
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Expire Month
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Expire Year
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