Attendee Registration

Where Residents Come First

Registration Type(Required)

What’s Included with Your Registration

We’re so glad you’ll be joining us! Your registration covers all the essentials—and a few extras—to make your experience comfortable, engaging, and memorable.

Monday - Welcome reception to kick things off
Tuesday - Breakfast, snacks, and coffee breaks, plus a networking lunch and a lively evening event with a live band
Wednesday - Breakfast, snacks, and coffee breaks
Thursday - Breakfast, snacks, and coffee breaks
CEUs Applied For - Your attendee registration includes continuing education units (CEUs) that will be applied for.

💳 No additional credit card transaction fees — what you see is exactly what you’ll pay!

Facility Name(Required)

Other Facility Name(Required)

Name(Required)

First Last

(This name will appear on your name badge.)

Email Address(Required)

Address(Required)

Street Address City State Zip

Title(Required)

(e.g., Administrator, Director of Nursing, Social Worker, etc)

Professional License Number(Required)

(e.g., Administrator – #123, Social Worker – #6789) If you do not hold a professional license, please enter “N/A."

Phone(Required)

Are you bringing any guests?(Required)

Have a guest joining you? We’d love to welcome them! Guest passes include access to networking events only and do not cover educational sessions or CEUs. Each additional guest ticket is $100.

How many guests will you be bringing? (Required)

Price: $100.00

Biloxi Shuckers Baseball Game Ticket (Optional)

Price: $37.00

Join us for a fun night out in Biloxi! Enjoy a Biloxi Shuckers baseball game on Wednesday, June 17th in the Left Field Terrace — a perfect midweek break to relax, network, and soak up the Gulf Coast atmosphere. Tickets are $37 per person, and advanced ticket purchase is required if you’d like to attend.

Total Registration Fee

This includes your registration and guest fees.

Guest Name (s)(Required)

Payment Method(Required)

Credit Card

Mail a Check

Invoice Me

Credit Card

Cardholder Name

Card Details

Mail your check to: INHA P.O. Box 458 Wiggins, MS 39577

You’ll receive an invoice within 2–3 business days.

Signature(Required)

Attendee Registration Form - Summer Conference

Registration Type(Required)

What’s Included with Your Registration

We’re so glad you’ll be joining us! Your registration covers all the essentials—and a few extras—to make your experience comfortable, engaging, and memorable.

Monday - Welcome reception to kick things off
Tuesday - Breakfast, snacks, and coffee breaks, plus a networking lunch and a lively evening event with a live band
Wednesday - Breakfast, snacks, and coffee breaks
Thursday - Breakfast, snacks, and coffee breaks
CEUs Applied For - Your attendee registration includes continuing education units (CEUs) that will be applied for.

💳 No additional credit card transaction fees — what you see is exactly what you’ll pay!

Facility Name(Required)

Other Facility Name(Required)

Name(Required)

First Last

(This name will appear on your name badge.)

Email Address(Required)

Address(Required)

Street Address City State Zip

Title(Required)

(e.g., Administrator, Director of Nursing, Social Worker, etc)

Professional License Number(Required)

(e.g., Administrator – #123, Social Worker – #6789) If you do not hold a professional license, please enter “N/A."

Phone(Required)

Are you bringing any guests?(Required)

Have a guest joining you? We’d love to welcome them! Guest passes include access to networking events only and do not cover educational sessions or CEUs. Each additional guest ticket is $100.

How many guests will you be bringing? (Required)

Price: $100.00

Biloxi Shuckers Baseball Game Ticket (Optional)

Price: $37.00

Total Registration Fee

This includes your registration and guest fees.

Guest Name (s)(Required)

Payment Method(Required)

Credit Card

Mail a Check

Invoice Me

Credit Card

Cardholder Name

Card Details

Mail your check to: INHA P.O. Box 458 Wiggins, MS 39577

You’ll receive an invoice within 2–3 business days.

Signature(Required)

Attendee Registration

Where Residents Come First

Where Residents Come First

What’s Included with Your Registration

Attendee Registration Form - Summer Conference

What’s Included with Your Registration

Contact Us

Quick Links