NISOA/ECSR Joint Clinic Registration Portal

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NISOA/ECSR Joint Clinic Registration Portal

2020 Registration Cycle

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Email Address *

Your answer

State of Residence (2 letter abbreviation only) *

Your answer

Clinic Location *

Choose

5/16/20 @ St. Louis, MO

6/13/20 @ Dallas, TX

7/25/20 @ Boston, MA

8/2/20 @ Chicago, IL

8/8/20 @ Minneapolis, MN

TBD @ Atlanta, GA

Current Registration Status *

NISOA & ECSR Member

ECSR Member Only

NISOA Member Only

Are you a NISOA National Referee? *

Yes

NO

Are you a NISOA Regional/National Assessor *

Yes

NO

Any Dietary Restrictions for Lunch? (optional)

Your answer

Submit

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