Personal Information - Clearwater Conference 2026

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PERSONAL INFORMATION

Fill out the information below, then click Next to continue.

* First name

* Last name

Maiden Name

* Email address

* Phone Number

*

Are you an NSU alumni?

This question is required.

Yes
No

*

What year did you graduate? Please specify if residency only.

*

I agree that $15.00 of my registration proceeds will be donated to the Alumni Chapter Scholarship Fund.

This question is required.

Yes
No (If no, please enter NONDONOR on the payment screen under Discount Code)
N/A (NSUCO Faculty or Adjunct Only)

*

What is your OE Tracker #? This field is required for attendance reporting. To lookup, click here: OE TRACKER Lookup.

*

Are you a FL licensed optometric physician?

This question is required.

Yes
No

*

What is your license number? Please double-check that the number entered is correct and enter it as OPCXXXX.

*

Are you an out of state licensed optometric physician?

This question is required.

Yes
No

*

Please provide state and license number. You can include mutiple.

Please note: It is the responsibilty of the registrant to ensure that CE hours will count towards your states requirements.

Address

* Address 1

Address 2

* Country/Region

* City

* State/Province

* ZIP/Postal code

Refund Policy

Cancellations received on or before October 30, 2026 are eligible for a full refund. To request a refund, please email oceaa@nova.edu by the cancellation deadline.

Cancellations received after October 30, 2026, as well as no-shows on the day of the event, are not eligible for a refund, as event costs are incurred based on confirmed registrations.

Refunds will not be issued for any goods or services that have already been provided.

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