2026 CUCCOA National Conference

Non-Member Rate $875.00

Includes all planned conference sessions and meals, breaks, networking opportunities and social events listed on the Conference Program. Transportation will be provided where indicated on the schedule. Non-Members will be asked to sit out of the Regional

First Name

Last Name

Organization

Phone

What are your preferred pronouns?

Do you want your preferred pronouns to appear on your nametag?

Yes No

	Yes	No
Is this your first time attending a CUCCOA National Conference?
Will you be attending the Gala?
Are you interested in being contacted to lead a peer led session?

We understand the importance of dietary needs take all restrictions very seriously. Our planning team will work with our catering partners to ensure safe and appropriate meal options are available for attendees. Please indicate any dietary requirements

Please indicate any accessibility needs or accommodations required. We will do everything we can to support your full participation.