CBM Director's Conference 2026 Registration Form

Director's Conference Registration Form

March 8-11, 2026
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of people coming with you:
1. Member
2. Member
3. Member
4. Member
5. Member
6. Member
Physical limitations? (for housing purposes)
If yes, explain. Give the name(s) of the person(s) with the restriction(s). Accommodations needed? (no stairs, etc.)
Dietary Restrictions or allergies?
If yes, explain. Give the name(s) of the person(s) with the restriction.
Which food item(s) cause issues? What is the severity? (Anaphylactic? Cannot be in the room with the food item? Can be in the room but cannot ingest? Stomach issues if ingested? IF Gluten-free or Dairy-Free, is it choice or allergy? Celiac?)
Arrival Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Approx. Time of Arrival

Hour Minutes

AM/PM Option
Departure Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Approx. Time of Departure

Hour Minutes

AM/PM Option
Roommate Requests

You *may* have to share a room (if attending single).

Please note: your requeste roommate(s) must request you!
Roommate Request 1
Are you willing to be assigned to Bear Lodge?
Recommended Sessions or Topics?
Recommended Speakers? (Include topic/session suggestions & contact info. if you have)
Should be Empty:

Director's Conference Registration Form