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
How will you pay?*
Pay by check
Pay by card
Remit check for the total above to:
The Colorado Pain Society
7730 E. Belleview Ave, Ste A200
Greenwood Village, CO 80111
Please submit the form below.
After submitting your registration, continue to Stripe to complete your card payment.
Registration code (if you were given one)
Leave blank unless the Colorado Pain Society gave you a code. Paying by check requires a code.
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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