Registration Registration Attendee Name(Required) First Last Phone(Required)Email(Required) Agency/Affiliation(Required) EMS level EMT Advanced Intermediate Paramedic Other EMS Conference FeesMain Conference(Required)The 2-day full conference includes a t-shirt and ticket to the banquet! 2-day $250 1-day $100 Virtual $50 None (pre-conference only) 1-day option(Required) Saturday Only Sunday Only Pre-Conference THURSDAY - Difficult Airway FRIDAY - HPCPR In-person attendees only, not for virtual audience. Extra Banquet TicketExtra banquet tickets $50 Add extra Banquet ticket Total Payment options(Required) Paypal (credit or debit card) Invoice my Agency ODOT Scholarship *Cancellation refunds are only accepted until February 22ndName on Credit Card(Required)Please provide the name if using a card First Last T-shirt size(Required)ChooseSmallMediumLargeXL2XL3XLNone