MEDA Conference 2026 Registration Form

MEDA Conference 2026 Registration Form

NOTE TO PRESENTERS: Presenters receive complimentary registration to the Conference the day you are presenting. You will be sent a special code to register!! Please remember to complete all the required fields.
NAME*

First NameLast Name
CREDENTIALS
For CE purposes
Pronouns
NAME and CREDENTIALS EXACTLY as you would like them printed on your nametag*
EMAIL*
example@example.com
Company / Organization
What state do you reside in?*

Street Address

Street Address Line 2

CityState

Zip Code
VegetarianVeganDairy FreeLactose FreeGluten FreeSensory Preference(s)/NeedsOther
Please explain any dietary considerations, including sensory preference(s)/needs.
ACCESSIBILITY: We strive to host inclusive events that allow all individuals, including individuals with disabilities, to engage fully. Or if you have inquiries about accessibility, please contact conference@medainc.org.
PLEASE INDICATE IF YOU NEED VOLUNTEER OR OTHER TYPE OF ASSISTANCE
YESNO
YESNO
YESNO
MEDA NewsletterSocial MediaWeb SearchColleagueMailingOther
If you are registering as a Sponsor, please upload your logo here as a .jpeg file.

Cancelof
Anything else you would like us to know?
PLEASE NOTE: We will send you a link to the WHOVA app to then register for your session selections at a later date.

REGISTRATION OPTIONS *

2 Day Registration THURSDAY, APRIL 30 and FRIDAY, MAY 1

$575.00

Cover Costs - Two Day Registration

I want to cover the costs of my CC fee for a two day registration

$15.00

1 Day Registration THURSDAY APRIL 30

$350.00

1 Day Registration FRIDAY MAY 1

$350.00

Cover Costs - One Day Registration

I want to cover the costs of my CC fee for a one day registration

$8.00

Student - 2 Day Registration THURSDAY, APRIL 30 and FRIDAY, MAY 1

$300.00

Student - 1 Day Registration THURSDAY APRIL 30

$175.00

Student - 1 Day Registration FRIDAY MAY 1

$175.00

DONATE a 2 Day Conference Attendance Scholarship

I would like to provide a scholarship for a member of marginalized / underserved communities to attend the conference

$275.00

DONATE a 1 Day Conference Attendance Scholarship

I would like to provide a scholarship for a member of marginalized / underserved communities to attend the conference

$150.00

Sponsor - Presenting Level

$25,000.00

Sponsor - Community Level

$15,000.00

Sponsor - Compassion Level

$10,000.00

Sponsor - Education Level

$5,000.00

Sponsor - Hope Level

$2,500.00

Sponsor - Inspiration Level

$2,000.00

Sponsor - Recovery Level

$1,750.00

Enter coupon

Total

$0.00

PLEASE NOTE: We will send you a link to the WHOVA app to then register for your session selections at a later date.