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Generic Registration
Register for a CAPFAA event
Registration Form
| Please fill out your registration
information below, then click "Continue"
at the bottom of the page |
| Event Name: * |
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| Event DateTime: * |
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First Name: *
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| Last Name: * |
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| Institution: * |
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| Title: |
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| Phone Number: |
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| Email Address: * |
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| Registration Fee
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Your Institution MUST be listed in the drop-down list above.
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| Do you require a certificate? |
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| Method of Payment:* |
Check to follow - Make check payable to CAPFAA, Inc.
Pay at the Door
For Pre-pay option:
Checks can be mailed to:
Flo LaCroix
Director of Financial Aid
Bridgeport Hospital School of Nursing
200 Mill Hill Avenue
Bridgeport, CT 06610
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