Full Name:

Job Title:

Community Name/Company:

Parent Company (required):

Address:

City, State, Zip:

Phone:

Cell Phone (required): Individual cell numbers are required for registration and for printing your badge at event check-in, and will not be used for any other use.

Work Email Address (required):

RCFE Admin Certificate #:

Additional Info:I am a first-time attendee.

Emergency Contact:

Name:

Phone:

One or Two Day Attendees (If you are attending the full conference, skip this part.)

Two Days: Monday & TuesdayTuesday & Wednesday

One Day: MondayTuesdayWednesday

Registration Fee:

Credit Card Payment Only (Visa, MC, Amex)

Grand Total:

Cardholder Name:

Credit Card Number:

Expiration Date:

Partners/Exhibitors Communication

CALA may provide attendee contact information to program partners and exhibitors of this event, which is only being used to inform the attendee of promotions and networking opportunities during the event. Attendee information is never given to any other parties and is not sold. Check the box below if you do not want to receive notifications and opportunities from the program partners/exhibitors via email or mail.

Opt out of partners/exhibitors communication

Confirmation – You will receive written confirmation of your registration from CALA within 10 business days of receipt.
Cancellation Policy – Cancellations must be submitted in writing to Katherine@CAassistedliving.org. Cancellations received by 5:00 PM 11 business days before the event will receive a refund, less a $50 administrative charge. Cancellations received 6-10 business days before the event are not refundable (regardless of registration date), but credit will be given for future CALA educational events, to be used within the next year. No refunds or credits will be given for cancellations received thereafter. No-shows are responsible for payment, and not eligible for refund or credit.
On-site CALA Photographer – Please be advised that a CALA photographer will be taking photos at the conference. As a registered participant, you agree to be included in photographs that may be used for future publicity or marketing materials.
CALA Contact - All registered attendees agree to receive CALA correspondence via e-mail or phone.

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