2026 SIO Conference — GALA ONLY Registration

Registration Form

First Name *

Last Name *

Email Address *

Professional Degrees

Primary Profession *

Street Address *

Address Line 2

City *

Country *

State *

Postal Code *

Phone *

Please state any dietary requirements or allergies and its severity (we will do our best to accommodate)

Pursuant to the Americans with Disabilities Act,
do you require specific aids or services?

Do you identify as a patient/caregiver and would you like to be provided details on events specific to this group?

Patient/Caregiver *

Yes

Event Fee(s)

You may enter up to 8 tickets for the GALA. For each ticket, including yourself please ensure you complete the dietary restrictions below.

Select Number of GALA Tickets

$175.00

Total

GALA Only 2026 GALA Additional Info

GALA Names & Dietary Restrictions

Conference Required Acknowledgements

Cancellation / Refund Policy Accepted *

I acknowledge that there are no cancellations or refunds after August 1, 2026. Cancellations before August 1 will receive a full refund minus a $50 USD admin fee.

Photo / Promotional Use Acknowledgement *

I acknowledge that photos taken at the conference and gala may be used for promotional purposes at the discretion of SIO.

Substitution Policy Accepted *

I acknowledge that there are no substitutions after September 15, 2026.

2026 SIO Conference — GALA ONLY Registration

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