Quality Leader Learning Collaborative Registration

Quality Leader Learning Collaborative Registration

Date: Wednesday, November 9

Time: All day | 8:00am - 3:00pm

Location: Embassy Suites by Hilton Portland Airport | 7900 NE 82nd Ave. Portland, OR 97220

We look forward to hosting an in-person collaborative! Please complete this form to register and attend the collaborative in-person.

If you are interested in joining virtually only, please register using our Zoom link here instead:

**Each attendee should fill out a form.

First Name*

Last Name*

Job Title*

Email*

State*

Oregon

Washington

Other

Learning Collaboratives are available exclusively to member hospitals and health systems, and specially-invited partners and guests.

Please contact Midori Sudo (MidoriS@wsha.org) if you are outside of WA & OR and would like to attend this collaborative.

Your registration will not be considered complete without approval.

Organization (WA)*

Select

Organization (OR)*

Select

Organization*

Do you have any dietary restrictions we should know about?

Comments

Please use this field to share anything else you would like us to know

Contact

Contact Midori Sudo (MidoriS@wsha.org | (206) 577-1819) with any questions, comments or need assistance with registration.

Cancellations: Please contact MidoriS@wsha.org if you need to cancel or switch to the virtual option.

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