Group Registration Form (3 or More People)
February 7th - February 8th, 2020
Please note, this is the Group Registration Form. Groups of 3 or more will receive a discounted rate of $375, per registrant, until January 10th. After January 10th, the standard rate of $425 applies to each registrant. 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.