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
Dietary Considerations

Other
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
I give permission and consent for photographs to be taken of me during the 2026 MEDA Conference and for publicity purposes
Can we share your contact information with our sponsors?
Have you attended the MEDA conference previously
How did you hear about the conference?

Other
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.

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

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