Attendee Registration Form

Together for Hope: Boston Addiction Conference 2024 Registration

Please tell us about yourself *

If none of these apply to you, please reach out to Kristopher.Warren@bmc.org for further assistance.

Please tell us your role, as it relates to addiction. *

First Name *

Last Name *

Organization *

Please tell us if you are involved in any addiction-focused organization *

Street Address

City

State

Zip Code

Email *

Reconfirm Email *

Phone Number *

Please Select your Role *

Are you registering for two days or one day *

Friday, March 15th

Saturday, March 16th

Discount Coupon

If you are interested in having your contact information shared with other attendees, check here and indicate your preferred method of contact

My preferred method of contact is (phone/email).

By clicking on the “Register” button below, you will be redirected to the PayPal payment portal where you can complete your payment with your PayPal account or a debit/credit card. You will receive an e-mail confirmation once the payment has been successfully processed.

Boston Medical Center Health System (BMCHS) may take photographs and/or video during this event for various marketing purposes. By registering and attending, you consent to your image being captured and used.

Conference Schedule at a Glance (preliminary)