Group Registration Form (3 or More People)
June, 13th - June, 14th
Please note, this is the Group Registration Form. Groups of 3 or more will receive a discounted rate of $255, per registrant, until May 13th. After May 13th, the standard rate of $295 applies to all registrants. A "Group Name" is required if you are registering as a group. This group name will be used to assist during sign-in at the conference.
Please list your group representative and their contact information below. Your group representative should be the contact person for your group if we need to reach you.
If you are registering as a group, only one credit card may be used to complete the registration. If you are unable to pay the total sum with one credit card, please refer to www.PediatricPossibilities.com to use the Paper Registration Form for Groups.