Register seminar attendees

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This registration page is for PILOTS only. Registration under this category does not include Educational Credits.
Professional Pilot’s registration fee is $200.00

Please Note: We will use the first 5 fields for your Name Badge
* denotes required fields.

First Name*:
Last Name*:
First Name as you would like it to appear on your badge*:
Rank*:
Airline*:
Email*:
Address*:
Extended Address:
City*:
State*:
Country*:
Zip*:
Phone Number*:

Is this your first HIMS Basic Seminar?*
Yes
No

Seminar Manual? *
I want a hard copy of the Seminar Manual when I check-in
I do not need a hard copy of the manual, I will download the manual from the website

Which days of the seminar will you attend?*
Note: Full registration fee is required regardless of days attended.
Monday, September 24th
Tuesday, September 25th
Wednesday, September 26th

Will you be at Birds of a Feather meeting (Public Welcome!) on the evening of Monday, September 24th?*
Yes
No

Breakout sessions are at 10:30 am Tuesday, September 25th. Which breakout session will you attend?*
Peer Monitors and Union HIMS Chairs
Employer/Airline Management HIMS Team
Neuropsychologists
Psychiatrists
AME's
Counselors, EAP, Other Mental Health Professionals
Family Support Volunteers
I will not be attending a breakout session

Will you be attending breakfast on Wednesday September 26th?*
Yes
No


For any issues regarding registration please email HIMS@Aviationmedicine.com or call 303-341-5220 and ask for HIMS Registration Support.

This is an example of how your seminar badge will be printed. If everything looks correct press continue below. If you need to edit your badge, select Edit and scroll to the top of the registration page and make your corrections. Select Continue to view your badge again.