Participant Waiver: This year’s venue, Glorieta Adventure Camps Conference Center, requires that all attendees sign a waiver in order to participate. Please sign the waiver linked below AND complete this registration form.

Sign the waiver online here

Personal Information

Fill out the information below, then click Next to continue.
Attendee Home Address
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Are you attending with a caregiver/aid? If so, please provide their contact information below:

This question is required.
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Which category best describes you? (please select all that apply)

This question is required.
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TIPS (Training for Innovative Possibilities to Serve Seniors) is a session specific to service providers; will you be attending TIPS on Thursday, September 24th?

This question is required.
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Are you a veteran?

This question is required.

Meal Information

Please note: Meals served at the Conference on Aging are prepared in a nut-aware kitchen that does not cook with nuts; however, cross-contamination is possible as the facility is not certified allergen-free. Attendees with severe allergies are encouraged to take necessary precautions.

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Meal Preference

This question is required.

Programming Information

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Days Planning to Attend (Please select all that apply)

This question is required.

Accessibility & Safety

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We are able to offer interpretation for this year’s conference. If you would like to utilize an interpreter, please select which language.

This question is required.
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Do you require any accessibility accommodations that would help us better serve you? (Some suggestions for accessibility requests include seating, mobility device access, transcription services, etc)

This question is required.

YOU MUST CLICK NEXT AND SUBMIT PAYMENT OR DISCOUNT CODE ON THE LAST PAGE TO COMPLETE YOUR REGISTRATION