Healthier Generation

Attendee Registration Form

Registration Type*

Attendee Information

Please make sure that your name and organization appear as you would like it to be displayed on your badge.

Work Address

Emergency Contact Information

Terms and Conditions

All Policies, Terms and Conditions of Registration are adopted in consideration of and in best interest of Summit attendees. As a condition of registration, you agree to all the terms and policies contained herein, as well as all other reasonable policies promulgated by Healthier Generation.

Click here to review the Media Release.

Click here to review the Liability Waiver.

The Policies, Terms and Conditions may be revised at any time by Healthier Generation and the Terms are non-negotiable.

Attendee Profile

Tell us more about you.

Presenter Profile

Presenters must submit a professional headshot and brief biographical profile for inclusion in any online materials including website and mobile application.

Upload your professional headshot: To ensure you are uploading a high-resolution headshot that can be used across multiple channels, we recommend that your image is at least 300 dpi (pixels) and full size (1 MB or up, not in KB).


Special Needs

Healthier Generation supports the practice of inclusion and accessible meetings as guided by the Americans with Disabilities Act (ADA). Healthier Generation will strive to accommodate reasonable requests when possible.


Healthier Generation will cover the room, tax and fees only for the nights of Thursday, October 24 and Friday, October 25. You will be responsible for covering the cost of additional room nights including taxes and fees, as well as any/all incidentals incurred during your stay. Please note that you will be required to provide a credit card upon arrival at the hotel to cover incidentals and if applicable, any additional room nights. (additional nights are based upon availability)

Please enter arrival and departure dates below. Confirmation will be sent direct from the hotel prior to your arrival.


Let us know what events you plan to attend during the Leaders Summit. Please select all that apply below.

Your Registration is almost complete!

Registration Code*