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First name*

Last name*

Title*

Email*

Cell Phone*

Address*

City*

State*

Zip*

Corporate Organization (N/A if not applicable)*

Community Name (N/A if not applicable)*

Community Phone Number

Are you a Licensed Nursing Home Administrator?*

Yes

LNHA License Number (N/A if not applicable)*

Are you a Social Worker?*

Yes

SW License Number (N/A if not applicable)*

How did you hear about this event?*

Is Your Community an OALA Member?*

Yes

Choose your registration type:*

OALA Member - $45

Non-Member - $65

Choose a Training Date / Topic

Identifying and Minimizing Legionella Bacteria Risk Levels in a Healthcare Building - August 7: 11am-Noon

Would you like to receive an invoice?*

Yes*

No** I will pay via credit card after submitting this form.

*There is no fee for ACH or check payments. Please click "Yes" if you would like to have an invoice emailed to you for this registration. After submitting this form, you will be redirected to PayPal but just exit the browser. Your invoice will be emailed to you soon. The balance will be due on or before 7 business days prior to the event.

**A fee of 3.8% will be assessed when paying with a credit card. After submitting this form you will be directed to PayPal to complete payment online.

Ohio Assisted Living Association (OALA) PHOTO RELEASE

I hereby grant the OALA permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

I understand and agree that all photos will become the property of the OALA and will not be returned.

I hereby irrevocably authorize the OALA to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge the OALA from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE. By submitting this registration, I consent to this release.

Questions or Comments:

Live Webinar Registration

First name*

Last name*

Title*

Email*

Cell Phone*

Address*

City*

State*

Zip*

Corporate Organization (N/A if not applicable)*

Community Name (N/A if not applicable)*

Community Phone Number

Are you a Licensed Nursing Home Administrator?*

Yes

LNHA License Number (N/A if not applicable)*

Are you a Social Worker?*

Yes

SW License Number (N/A if not applicable)*

How did you hear about this event?*

Is Your Community an OALA Member?*

Yes

Choose your registration type:*

OALA Member - $45

Non-Member - $65

Choose a Training Date / Topic

Identifying and Minimizing Legionella Bacteria Risk Levels in a Healthcare Building - August 7: 11am-Noon

Would you like to receive an invoice?*

Yes*

No** I will pay via credit card after submitting this form.

**A fee of 3.8% will be assessed when paying with a credit card. After submitting this form you will be directed to PayPal to complete payment online.

Ohio Assisted Living Association (OALA) PHOTO RELEASE

I understand and agree that all photos will become the property of the OALA and will not be returned.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE. By submitting this registration, I consent to this release.

Questions or Comments:

Eat. Learn. Grow.

Live Webinar Registration

Live Webinar Registration