Attendee account information
Please provide the contact information below for the individual who is being registered for the conference. 

Attendee contact details

Enter the attendee's email address in the field below. 

Providing a photo and bio here will help you connect with other attendees on the mobile app during the conference. 

Photo

Add/Replace Photo

Please select a photo capture option below

Contact Photo Preview Image
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If you are filling out this registration form on someone else’s behalf and would like to receive a copy of the registration receipt, please check the box below and add your email address in the coordinator email field. 

The coordinator will receive a copy of all communications sent to the attendee going forward.

Primary address


Attendee badge information

Please use the fields below to enter your name exactly how you would like it to be printed your conference name badge. If you would like your credentials listed on your badge, please include them after your last name. 

Dietary requirements

The following food functions are included with your registration: 

  • Wednesday, October 14 - Lunch and reception appetizers (this is not a dinner event)
  • Thursday, October 15 - Breakfast and lunch
  • Friday, October 16 - Breakfast

All functions will be served buffet style. Buffets will incorporate dietary needs and be labeled with allergens (if any). Visit the registration desk if you require assistance during meal functions. 

Accessibility needs

To help ensure every attendee enjoys a smooth and inclusive conference experience, please provide any details about specific requirements or accommodations you may need. Our conference team will do its best to support and accommodate all accessibility needs. If you plan to participate in a site visit, please let us know of any accessibility needs related to transportation. Site visit locations may require walking, public transit, or the use of a conference-provided van.


Continuing education credits

Putting Care at the Center 2026 is in the process of applying for the following credit types.
Select the types of credit you would like to receive for participating in the conference. 

Please check the conference website in August 2026 for updated continuing education information.


All other credit types will receive a general certificate referencing AMA Category 1 credits. Help us improve the number of credit types we offer in the future. Use the field below to indicate the credit type you would like to see offered at future conferences. 


CLE (State)

Enter the state of your bar association.


Demographic information

At the Camden Coalition, we are committed to fostering a diverse and inclusive environment in all our programs and events. To ensure we are reaching and serving all communities equitably, we ask participants to voluntarily share demographic information, including race, ethnicity, gender, LGBTQ+ identity, and other characteristics.

This information helps us better understand the diversity of those engaging with our work and allows us to identify any groups that may be underrepresented. By gathering and analyzing this data, we can take informed actions to improve our outreach and make sure our programs are accessible to all individuals, regardless of background. 

Your participation in providing this information is entirely voluntary, and all responses are kept confidential. Thank you for helping us create a more inclusive and equitable space for everyone.

Race/ethnicity *
(Check all that apply)


Gender *
(Check all that apply)

Do you identify as LGBTQIA+? *

Do you have lived experience of complex health and social needs, whether yourself or as a family caregiver? *


How many years of experience do you have in complex care? *


Have you attended the conference previously? *


If yes, please indicate which years you have attended.


How did you hear about the conference? *


Profile information

Select your organization type below.*
(Choose one)


What is your organization's annual revenue?


Select your industry/field.*
(Choose one)


What professional disciplines BEST describe you?
(Check all that apply)


Student ID or Transcript

Please provide your student ID or transcript.


Do you work directly with patients/clients?*
(Check all that apply)

Bundle and save

Bundle your pre-conference session with conference registration or a two-day pass and save $50! Select one of the options below to continue. 

AMOUNT
695.00
TOTAL

This price includes Wednesday - Friday conference registration. You must select the pre-conference session below to bundle and save.


Bundle and save

Bundle your pre-conference session with conference registration or a two-day pass and save $50! Select one of the options below to continue. 

AMOUNT
895.00
TOTAL

This price includes Wednesday - Friday conference registration. You must select the pre-conference session below to bundle and save.

Bundle and save

You qualify to receive reduced rate for your conference registration. Bundle your pre-conference session with your discounted registration or a two-day pass and save $50! Select one of the options below to continue. 

 

AMOUNT
249.00
TOTAL

This price includes Wednesday - Friday conference registration. You must select the pre-conference session below to bundle and save.


Bundle and save

You qualify to receive reduced rate for your conference registration. Bundle your pre-conference session with conference registration or a two-day pass and save $50! Select one of the options below to continue. 

AMOUNT
350.00
TOTAL

This price includes Wednesday - Friday conference registration. You must select the pre-conference session below to bundle and save.


Bundle and save

You qualify to receive reduced rate for your conference registration. Bundle your pre-conference session with conference registration or a two-day pass and save $50! Select one of the options below to continue. 

AMOUNT
545.00
TOTAL

This price includes Wednesday - Friday conference registration. You must select the pre-conference session below to bundle and save.


Bundle and save

You qualify to receive reduced rate for your conference registration. Bundle your pre-conference session with conference registration or a two-day pass and save $50! Select one of the options below to continue. 

 

AMOUNT
745.00
TOTAL

This price includes Wednesday - Friday conference registration. You must select the pre-conference session below to bundle and save.

AMOUNT
350.00
TOTAL

This price includes Wednesday conference registration. You must select the pre-conference session below to bundle and save.


Tuesday pre-conference only

Register for the Tuesday pre-conference session below.  

Includes Tuesday session only. You must select the pre-conference session below.



AMOUNT
100.00
TOTAL
AMOUNT
150.00
TOTAL

Scholarship contribution

To keep Putting Care at the Center as inclusive as possible, we have established a scholarship fund to cover registration, travel, and lodging for individuals who cannot afford them. Most scholarship support goes to individuals with lived experience of complex health and social needs.  

The average cost to support one person through the scholarship fund is $1,000. If you wish to do so, you may add support for the scholarship fund, in $25 increments, to the cost of your registration. Select your desired number of increments by clicking the “+” sign, and the total amount will be added to your registration payment.  

AMOUNT
25.00
TOTAL

Attendee visibility & marketing

Name, job title, and organization will automatically be displayed in the conference app, unless you opt out below. Attendees will have the ability to select additional information (address, phone number, email, social media, etc.) to share with other attendees after the mobile app is downloaded. In addition, the contact information selected will only be shared with other attendees after making a Meeting Hub connection or accepting a connection request from another attendee on the mobile app. 

option required

Sponsor marketing


Camden Coalition mailing list

I understand that by selecting opt-out below, I will still receive direct emails regarding my attendance at this year's conference such as the "Know before you go" email.


Summary

Terms and conditions


Payment

Select the button for online credit card payment, choose your card type and then select proceed to checkout. You will be directed to the secure credit card payment page. You will enter your credit card details and select submit securely. 

Important: After submitting please wait to be redirected to the "Thank you for your payment" page before exiting the window. If the form is closed before the thank you page is generated, your registration will not be submitted to the database.

Questions? Contact registration@horizonmeetingmanagement.com.


Thank You

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