2026 Conference Registration Form * Required fields Basic Information Name * The name under which you register will appear on your name tag. Surname The name under which you register will appear on your name tag. Pronouns This will appear on your name tag. Email Address * If attending as a professional, researcher, educator, or student, please provide your institutional or professional email address unless you have used a different address with B4U-ACT before. Dietary restrictions, if any (e.g., vegetarian or vegan) Which of the following do you wish to attend as? * A professional, researcher, educator, or student in a relevant fieldA minor-attracted personOther Have you attended a B4U-ACT conference/workshop before * YesNo Are you a B4U-ACT volunteer, signatory/referral therapist, member of the researcher email group, or presenter at this conference?* YesNo Institution or Practice Name of your institution or practice * Link to your professional or institutional profile * This profile should describe your specific background and your role at your institution or practice. Do you wish to receive CEUs? * YesNo Reference Please provide the following information about a reference: someone who is (1) trusted by B4U-ACT or is your therapist, and (2) who knows you well (over time and preferably in real life). Name of Reference * Email Address of Reference * Your Relationship to Reference * Additional Information Feel free to ask any questions you have or provide additional information about your needs or reason for attending.
