Registration Form

Student Registration

We want to welcome students to the Empowering Communities for a Healthy Mississippi Conference and encourage programs to take full advantage of the discount we are providing for students.

Student Registration Only
Student Application Only
Student Application Only
Student Application Only

Emergency Contact Information 

Conference and Pre-/Post-Conference Course Cancellations and Changes 

Cancellation requests must be received in writing on or before March April 1, 2023. For conference registrations, a refund will be issued minus an administrative fee of $25.00. Substitution requests must be submitted in writing. 

Registrations received without payment will not be processed.

Questions? Call (877) 673-2462 or email or

Conference Scholarships Available

If you are having a financial hardship, and would like to attend the conference, please complete the registration form and check Scholarship for payment options. We will reach out to you to discuss further details. 

Scholarships will be reviewed within 7 days.
$ 0.00