Annual Conference: Registration Page – International Brain Injury Clubhouse Alliance

2026 Annual IBICA Conference Registration

Step 1 of 3

Name *

First

Last

Email *

Primary Phone Number *

Mobile Phone Number

Please provide a phone number for any contact necessary during the conference.

Clubhouse Name *

Registration Type: *

Please note: The virtual conference registration fee of $300 is for unlimited simultaneous users. ** No registration fees include travel costs! ** Must submit a form for EACH person who is attending in person.

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