CONFERENCE REGISTRATION

How did you hear about us?*
- Past Attendee
- Past Sponsor
- Colleague Referral
- Word-of-mouth
- Advertising
- Other
Name of Colleague:
If from Advertising, please tell us

Facebook, society website, society email, newsletter, etc...
If Other, please specify

I WILL ATTEND:*
- Friday session
- Friday night dinner (requires SEPARATE REGISTRATION)
- Saturday session
- Sunday session
Registration:*
- $250 Colorado Pain Society Member - Early Bird*
- $300 Colorado Pain Society Member
- $350 Non-Member - Early Bird*
- $400 Non-Member
*Early Bird registration good through June 15, 2026
Membership: $150 Click To Join

Payment Information
Total
$0.00
Credit Card
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Cardholder Name
If payment will be made by someone other than the Attendee, please provide Attendee’s name:
SHARED CONTACT INFORMATION CONSENT / OPT-OUT*
- I consent to have my contact information shared with 2026 sponsors/ineligible companies for marketing purposes.
- I do not consent to have my contact information shared with 2026 sponsors/ineligible companies for marketing purposes.
Shared contact information includes name, address, phone, email address.
Refund Requests
- Considered on a case-by-case basis
- No later than August 31, 2026
- Less service and administrative fees
The Hythe Hotel Reservations

book.passkey.com/go/ColoradoPainSociety2026

Questions?

Email us at copainsociety@gmail.com

Medical Education Resources CME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
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