Stay up to date and receive special offers from the Napa Pain Conference and Neurovations Education
Neurovations Education produces:
This website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish. Cookie settings ACCEPT Privacy & Cookies Policy
[class^="wpforms-"]
[class^="wpforms-"]
[gravityform id="2" title="false" ajax="true"]
<div class='gf_browser_unknown gform_wrapper gform_wrapper_original_id_2 gravity-theme' id='gform_wrapper_1560260257' ><div id='gf_1560260257' class='gform_anchor' tabindex='-1'></div>
<div class='gform_heading'>
<span class='gform_description'>Stay informed from the NPC</span>
<p class='gform_required_legend'>"<span class="gfield_required gfield_required_asterisk">*</span>" indicates required fields</p>
</div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_1560260257' id='gform_1560260257' action='/contact-us/#gf_1560260257' >
<div class='gform_body gform-body'><div id='gform_fields_1560260257' class='gform_fields top_label form_sublabel_below description_below'><fieldset id="field_2_1" class="gfield gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible" data-js-reload="field_2_1"><legend class='gfield_label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name' id='input_1560260257_1'>
<span id='input_1560260257_1_3_container' class='name_first' >
<label for='input_1560260257_1_3' >First</label>
<input type='text' name='input_1.3' id='input_1560260257_1_3' value='' aria-required='true' />
</span>
<span id='input_1560260257_1_6_container' class='name_last' >
<label for='input_1560260257_1_6' >Last</label>
<input type='text' name='input_1.6' id='input_1560260257_1_6' value='' aria-required='true' />
</span>
<span id='input_1560260257_1_8_container' class='name_suffix ' >
<label for='input_1560260257_1_8' >Suffix</label>
<input type='text' name='input_1.8' id='input_1560260257_1_8' value='' aria-required='false' />
</span>
</div></fieldset><div id="field_2_2" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_2"><label class='gfield_label' for='input_1560260257_2' >Institution</label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_1560260257_2' type='text' value='' class='large' aria-invalid="false" /> </div></div><div id="field_2_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_3"><label class='gfield_label' for='input_1560260257_3' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_3' id='input_1560260257_3' type='text' value='' class='large' aria-required="true" aria-invalid="false" />
</div></div><div id="field_2_4" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_4"><label class='gfield_label' for='input_1560260257_4' >I want to know more about:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_1560260257_4' class='large gfield_select' aria-required="true" aria-invalid="false" ><option value='Napa Pain Conference' >Napa Pain Conference</option><option value='All Neurovations Conferences' >All Neurovations Conferences</option></select></div></div><div id="field_2_6" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_6"><div class='ginput_container ginput_container_text'><input name='input_6' id='input_1560260257_6' type='hidden' class='gform_hidden' aria-invalid="false" value='NPC' /></div></div><div id="field_2_7" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_7"><label class='gfield_label' for='input_1560260257_7' >Phone</label><div class='ginput_container'><input name='input_7' id='input_1560260257_7' type='text' value='' /></div><div class='gfield_description' id='gfield_description_2_7'>This field is for validation purposes and should be left unchanged.</div></div></div></div>
<div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_1560260257' class='gform_button button' value='SIGN UP' onclick='if(window["gf_submitting_1560260257"]){return false;} window["gf_submitting_1560260257"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_1560260257"]){return false;} window["gf_submitting_1560260257"]=true; jQuery("#gform_1560260257").trigger("submit",[true]); }' /> <input type='hidden' name='gform_ajax' value='form_id=2&title=&description=1&tabindex=0' />
<input type='hidden' class='gform_hidden' name='is_submit_2' value='1' />
<input type='hidden' class='gform_hidden' name='gform_submit' value='2' />
<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
<input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsIjIwZjQ4MjVmMGY2YjZkOWMwODhhNWNkYTAxZThhNTQzIl0=' />
<input type='hidden' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_1560260257_2' value='0' />
<input type='hidden' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_1560260257_2' value='1' />
<input type='hidden' name='gform_random_id' value='1560260257' /><input type='hidden' name='gform_field_values' value='' />
</div>
</form>
</div>
<iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_1560260257' id='gform_ajax_frame_1560260257' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe>
<script type="text/javascript">
gform.initializeOnLoaded( function() {gformInitSpinner( 1560260257, 'https://napapainconference.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_1560260257').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_1560260257');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_1560260257').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_1560260257').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_1560260257').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_1560260257').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_1560260257').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_1560260257_2').val();gformInitSpinner( 1560260257, 'https://napapainconference.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [1560260257, current_page]);window['gf_submitting_1560260257'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_1560260257').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_1560260257').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [1560260257]);window['gf_submitting_1560260257'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_1560260257').text());}, 50);}else{jQuery('#gform_1560260257').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [1560260257, current_page]);} );} );
</script>
[gravityforms id="3" title="false" description="false"]
<div class='gf_browser_unknown gform_wrapper gform_wrapper_original_id_3 gravity-theme' id='gform_wrapper_1580125212' ><form method='post' enctype='multipart/form-data' id='gform_1580125212' action='/contact-us/' >
<div class='gform_body gform-body'><div id='gform_fields_1580125212' class='gform_fields top_label form_sublabel_below description_below'><div id="field_3_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_2"><label class='gfield_label' for='input_1580125212_2' >First Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_1580125212_2' type='text' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_3_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_3"><label class='gfield_label' for='input_1580125212_3' >Last Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_1580125212_3' type='text' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_3_4" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_4"><label class='gfield_label' for='input_1580125212_4' >Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_4' id='input_1580125212_4' type='text' value='' class='large' aria-required="true" aria-invalid="false" />
</div></div><div id="field_3_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_5"><label class='gfield_label' for='input_1580125212_5' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_1580125212_5' type='text' value='' class='large' aria-required="true" aria-invalid="false" /></div></div><div id="field_3_6" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_6"><label class='gfield_label' for='input_1580125212_6' >Organization</label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_1580125212_6' type='text' value='' class='large' aria-invalid="false" /> </div></div><div id="field_3_7" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_7"><div class='ginput_container ginput_container_text'><input name='input_7' id='input_1580125212_7' type='hidden' class='gform_hidden' aria-invalid="false" value='NPC-Exhibitor' /></div></div></div></div>
<div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_1580125212' class='gform_button button' value='Submit' onclick='if(window["gf_submitting_1580125212"]){return false;} window["gf_submitting_1580125212"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_1580125212"]){return false;} window["gf_submitting_1580125212"]=true; jQuery("#gform_1580125212").trigger("submit",[true]); }' />
<input type='hidden' class='gform_hidden' name='is_submit_3' value='1' />
<input type='hidden' class='gform_hidden' name='gform_submit' value='3' />
<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
<input type='hidden' class='gform_hidden' name='state_3' value='WyJbXSIsIjIwZjQ4MjVmMGY2YjZkOWMwODhhNWNkYTAxZThhNTQzIl0=' />
<input type='hidden' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_1580125212_3' value='0' />
<input type='hidden' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_1580125212_3' value='1' />
<input type='hidden' name='gform_random_id' value='1580125212' /><input type='hidden' name='gform_field_values' value='' />
</div>
</form>
</div>