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Clinical Executive Roundtable August 3-5, 2026 Registration
San Diego, California | Margaritaville, Gaslamp Quarter

Please complete the registration form below, so we can properly plan for the meeting space, event materials, and catering needs. Should you need to cancel later, please notify us in addition to the hotel so we can adjust accordingly.
1.Please select:(Required.)
2.Please share your full name (Your badge will reflect this name unless you let us know otherwise.)(Required.)
3.Please share your company name(Required.)
4.What is your job title?(Required.)
5.Please share your work email(Required.)
6.Please share the name of your spouse/significant other if planning to attend. Remember, they are welcome to join the pre-event excursions, welcome reception and happy hour!
7.Are you interested in participating in a late morning/early afternoon MONDAY Excursion before the Welcome Reception like a whale watching boat trip or lowkey trip to a local beach?(Required.)
8.Cell Phone(Required.)
9.Do you or your guests have any dietary restrictions?
10.If you are a new member and were referred to us by an existing member please share their name so we can thank them personally!