Male Allyship Special Session Registration

Male Allyship Special Session Registration - 2024

A Male Allyship Conversation: Panel and Circle Conversations
Date and Time: May 15, 2024 from 12:45 – 2 pm

Location: CHI Health Center Omaha

All individuals that register as part of this special invitation opportunity will receive an e-mail from ICAN on Monday, May 13 with additional instructions so you are prepared with all logistics and details.

Please note, with your registration for this particular session and learning opportunity for our partners with this form - you indicate your understanding it is for this session only, and not the entire conference day (unless you also hold a full-day conference ticket registration).

We look forward to having you part of the conference!

Your Name

Your Company:
(as you would like it listed on your nametag)

Your Title:

Your E-Mail:

Registration Type:

Any questions, comments or special accommodation requests for ICAN regarding your participation in this session?

This Section For Group Registrations: Conference Partner alloted groups [if not having them register indivdiually] or for Open Registration groups of 3

If a group registration, will you personally be attending as part of the 3?

Yes, I will be one of the 3! I will indicate my other 2 attendee names below or by May 1No, just coordinating. I will indicate my 3 attendee names below or by May 1

Group Registration: Attendee 1 Name, E-Mail, Title & Company
(if not the one completing this form per the above, leave blank if so)

Group Registration: Attendee 2 Name, E-Mail, Title & Company

Group Registration: Attendee 3 Name, E-Mail, Title & Company

This Section for Open Registrations Only (non-Conference Partners)

If an open registration, please indicate an e-mail contact where we can issue the $49 or $129 invoice to secure your spot:

Contact Information