Registration Form

To Register:

1. Complete this Membership Form.

2. You must be a member of the Academy of Nutrition and Dietetics and Virginia Academy of Nutrition and Dietetics in order to join GRAND.

3. Students and interns are free, but must fill out a membership form each year in order to be eligible for active membership benefits.

Payment for the 2024-2025 year:

$16.01 if you pay online via PayPal.

$15.00 if you pay by check.

Mail check* to:

GRAND

c/o Katelynn Stansfield

6113 Forest Wood Road
Midlothian, VA 23112-2330

*Please note in Memo line of check "2024-2025 Registration"

GRAND Registration Form

Note: Students and interns are free but must fill out an application to maintain active membership each year.

First name

Last name

AND Number

I have declared VIRGINIA as my AND state affiliation and understand I must do so to be a GRAND member.

Yes

Do you live in another district, but are declaring GRAND as primary district of membership this year?

Yes

Phone

Street Address

City

Region/State/Province

Postal / Zip code

What is you current area of practice?

What topics are you interested in for potential CPEU events?

Please check here if you are a...

Undergraduate Dietetics Student

GP Student

Dietetic Intern

If you answered the above question, what program/school do you attend?

I understand that after submitting this form, I need to submit payment for my membership to be processed. If I am a student/intern, membership is free and I do NOT have to pay.

Yes

Thank you for registering. Please now click the "Buy Now" button to submit your membership payment to complete your registration.