2026 Conference Registration
Thu Mar 19th - Fri Mar 20th, 2026

For more information, please visit utahrectherapy.org/conference
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Email *
First Name *
Last Name *
Credentials
Check all that apply.
Work Email Address *
For the attendee. Please assure accuracy. This will be included in the Membership Directory.
Google Account Email Address *
To be able to access the URTA Members Drive (handouts, etc.) and your personal CEU Google Drive for access to your CEU certificate, please list your email associated with your Google Account. For most people, this is a Gmail address.
Phone *
Use this format: XXX-XXX-XXXX
Registration Type *
30 online remote attendance spots will be available this year. Please be aware that these will be primarily used and intended for people out of state, new parents, and hardship requests. 
Food Allergies or Preferences
Check all that apply. Please keep in mind that we do our best to reduce allergic reactions. List any severe allergies in the 'Other' option. For specific diet preferences, we encourage you to provide your own food.
Will you be attending the Thursday Night Party happening March 19th from time TBD? *
Party is NO EXTRA COST for conference registrant. This helps us order enough food. Specific diet requests cannot be fulfilled for the party. We will be staying at the Conference Center at Miller Campus- SLCC Sandy Utah for Paint and Pot activities! Light dinner will be provided. Visit utahrectherapy.org/conference for more party information.
Are you bringing a plus one to the party for an extra $20? *
This helps us order enough food. The extra cost will be added to your invoice.
Alma Mater- University Attended *
If you are a student, please mark other and type student or leave blank
Required
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