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Hospital Events
Las Vegas, NV
March 17-20, 2020

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Registrant Information  

Licenses and Certifications
Please select the appropriate licenses and/or certifications held by the registrant for the continuing education credits being requested.
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Paying by Check?
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By attending this event, I hereby grant JCR all rights, title and interest to publish, record, reproduce, edit, modify exhibit, project and copyright any photographic or video images of myself taken during the event for publications, advertising and marketing, fundraising, publicity, archival or for any other purpose. I waive any right that I may have to inspect and approve any such image or the finished product which incorporates such image.

I hereby waive and agree to hold JCR harmless, on behalf of myself, to the fullest extent that I may lawfully do so, any causes of action I may have or may acquire hereafter against JCR, including but not limited to libel, slander, invasion of privacy, copyright or trademark violation, right of publicity, or false light, arising out of or in connection with the utilization of the images in accordance with the terms hereof.

The personal information collected on this form – licensure/certifications is used by Joint Commission International for registration, communications, access to event materials, and for marketing for future events. Further authorizations will be obtained prior to sharing that information with any third parties except as outlined below. By submitting this form you agree to receive our newsletters, invitations to our events and information about publications. If you wish to opt-out of receiving marketing materials, please click here to fill out the form and check the unsubscribe from all emails box. The personal information you provide will be stored in the United States on computer data storage devices or paper records of the Company, or in cloud storage hosted by a contracted third-party service provider and subject to privacy and security obligations. Third-party vendors may only process personal information in the manner permitted by the Company and are required by contract to maintain adequate technical and organizational security measures to safeguard your personal information. Depending on applicable law, you may have rights of access, correction, and the like in your data. Please contact JCR Customer Service in the event access is desired or with any questions/concerns. Your personal information will be retained by the Company as long as necessary to carry out purposes listed above and/or as required by applicable law, please click here to view our full Privacy Statement.