Special Guest/Volunteer Registration

Please complete this form so that there is a padfolio and neck wallet for you when you arrive.

Only pay for workshops if interested in taking any, register for the workshops here.

Name *
Name
Video Permissions - This event may be recorded. By attending the San Diego Pain Summit you consent to be photographed, filmed, and/or otherwise recorded. Your entry constitutes your consent to such photography, filming, and/or recording and to any use, in any and all media throughout the universe in perpetuity of your appearance, voice, and name for any purpose whatsoever in connection with the production presently entitled: San Diego Pain Summit. You understand that all photography, filming, and/or recording will be done in reliance on this consent given to you by signing up for this course. *
General Policies - I understand there will be no slide handouts unless the speaker has provided them. Speakers are under no obligation to distribute their slides and I will receive copies only with speaker permission. ~~~~ I understand lunch is not served during the conference or workshops~~~~ I have read all descriptions of speaker biographies, topics, workshops, and the schedule as is available on the Summit website. *
If you are volunteering with a workshop please mark them below. *