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Attendee Registration - Capital Health Allied Health Professionals
In This Section
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2026 Capital Health’s Annual Continuing Education Conference: Learn. Connect. Transform Care.
May 1-2, 2026
Borgata Hotel & Casino
1 Borgata Way
Atlantic City, NJ 08401
RATES:
Early
Through 12/1/2025
Standard
12/2/2025-3/31/2026
Late
4/1/2026-4/24/2026
On-Site
4/25/2026-5/2/2026
Allied Health Professionals
$450
Saturday Only:
$300
$500
Saturday Only:
$325
$600
Saturday Only:
$350
$700
Saturday Only:
$375
Use this form if you are employed as an Allied Health Professional (LCSW, LHMC, LSW, LP, OT, PT, RD, RDN, other) in the Capital Health network.
Please complete the form below to register for Capital Health’s Annual Continuing Education Conference.
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First Name
Last Name
Address
Address
Address 2
City/Town
State/Province
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Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East
Armed Forces Americas
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California
Colorado
Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
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Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Nebraska
Nevada
New Hampshire
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New Mexico
New York
North Carolina
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Washington
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Wisconsin
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ZIP/Postal Code
Phone Number
Email Address
Please verify the above information is correct.
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I confirm the above information is correct.
Name of Organization/Affiliation
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Capital Health System
Ticket Type
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Full 2 Days - $450
Saturday Only - $300
Medical Specialty
Medical Specialty
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Clinical Psychologist
Clinical Social Worker
Dietician/Nutritionist
Lab Tech
Occupational Therapist
Speech and Language Pathologist
Pharmacy Technician
Physical Therapist
Other…
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Provider License Type
Provider License Type
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LCSW
LMHC
LSW
LPC
OT
PT
RD
RDN
Other…
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Will you attend the FRIDAY evening reception?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
Will you attend the SATURDAY evening GALA?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
Dietary Restrictions or Food Allergies
Yes
No
Please specify your restrictions here
Please specify your restrictions here
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Vegetarian
Vegan
Gluten Free
Dairy Free
Nut Free
Other…
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Payment
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Expire Month
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Expire Year
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