TCRHC Registration Options Step 1 of 4 - Attendee Information 0% Total Attendee Name(Required)Attendee Title(Required)Organization(Required)Attendee Email(Required)Optional Email Opt Out Don't share my email with exhibitors Are you a CRHC Member?(Required) Yes No Members get a discount! Not sure if you are a member? Check here or reach out: https://coruralhealth.org/membershiplistAre you a confirmed speaker at the event?(Required) Yes No Speakers get a discount! What kind of organization do you represent?(Required) Critical Access Hospital (CAH) Rural clinic Student Other Check all that apply Will you be attending the TBD WORKSHOP(Required) Yes No This workshop costs X. More infor here: XYZWill you be attending the free CAH Workshop?(Required) Yes No The Critical Access Workshop is free for employees of Colorado CAHs. The CAH workshop is held Wednesday April 15 at the same location as the main conference Will you be attending The Colorado Rural Healthcare Conference? Wednesday night through friday noon(Required) Yes No https://coruralhealth.org/the-colorado-rural-healthcare-conference Will you be staying at the Omni Hotel?(Required) Yes No Not sure yet Have you already booked your room? We can help you book your room right here in this form!(Required) Yes No Please enter your hotel confirmation number (if you have it)Would you like CRHC to reserve a hotel room for you?(Required) Yes No We have a discounted rate at the hotel for our conference attendees of XXX. This should be the least expensive rate. If you see a less expensive rate online, please keep in mind that our rate has a waived $30 resort fee. All other rates you see online will have an additional $30 per room per day added at checkout. Guest name for the hotel room(Required)Would you like 1 king bed or 2 queens(Required) 1 King 2 Queens Do you have any special requests or accomodations?TotalConference Week Registration Price: Total Δ Subtotal Options Total TCRHC Registration Options quantity Add to shopping bag Need Help? Contact Us Leave Feedback Contact Us NameThis field is for validation purposes and should be left unchanged.First Name*Last NameEmail* Subject*General QuestionUpcoming EventGrant QuestionMedia InquiryYour Message*CAPTCHA Δ Leave Feedback Share
