2025 Annual OBC Convening Registration

Name*

First NameLast Name

Role*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Will you be attending the full convening (September 17–19)?*

If no, please specify which days you will attend. *

Do you have any dietary restrictions?*

Other Dietary Restrictions*

Do you need any accessibility accommodations?*

Specified Accommodations *

1. I acknowledge that the Center for Outcomes Based Contracting will cover the registration fee for four members of my organization because we are currently participating in the cohort or are part of an alumni district.*

2. I acknowledge that the Center for Outcomes Based Contracting will cover registration fee for up to two people within my organization because I am currently participating in the cohort or am part of an alumni district.*

3. I acknowledge that the Center for Outcomes Based Contracting will cover registration fee for up to two people within my organization because I am a district and would like to learn more about OBC. *

4. I acknowledge that the Center for Outcomes Based Contracting will cover registration fee for up to two people within my organization because I am currently partnering with the Center for OBC through a state based cohort or technical assistance*

5. I acknowledge that the Center for Outcomes Based Contracting will cover the registration fee because I am currently an SEF employee*

6. I acknowledge that the Center for Outcomes Based Contracting will cover the registration fee because I am currently an OBC employee, SME, or Coach.*

I understand that eligible travel and hotel expenses will be reimbursed after the convening, once I submit the required reimbursement form and receipts. *

I understand that travel and hotel expenses will be reimbursed for individuals from my organization, up to the number identified based on our registration type, after the convening and upon submission of the required reimbursement form and receipts.*

I understand that I am responsible for booking my own travel to and from the convening in Orlando, FL.*

I understand that I am responsible for booking my own hotel accommodations at the Caribe Royale Orlando.*

Photos and videos may be taken during the convening for documentation and promotional use by the Center for Outcomes Based Contracting and its partners. Please indicate your consent below: I give permission to be photographed or recorded and for my image, name, and likeness to be used in future materials.*

Registration Fee Payment*

The registration fee to attend the 2025 Annual Center for Outcomes-Based Contracting Convening is $350 per participant.&#13;&#10;&#13;&#10;Please note: Your registration will not be complete until payment is submitted through this form.

Campaign ID

My Products

Event Attendance

$350.00 Quantity

Minimum Donation (Providers)Providers are invited to consider making an optional donation to support the Center for Outcomes Based Contracting’s mission. Your contribution directly supports future learning experiences, district coaching, and capacity-building efforts. If you do not wish to do so, please instead pay the Event Attendance fee.

$1,000.00

Additional Donation (Providers)If you wish to make a donation larger than the minimum of $1000, please adjust the quantity of this line item to reflect the additional amount you wish to donate.

$500.00 Quantity

Total

$0.00

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