BALANCE 2026 · Registration

Tell us who is attending.

August 28–29, 2026 · Friday 9:00 AM–6:00 PM · Saturday 9:00 AM–4:00 PM · DoubleTree by Hilton · Jacksonville, Florida

Complete this form so we can prepare badges and event materials, then continue to secure payment. Fields marked * are required.

Clinic Information

Step 1

Clinic Name *

Registration Category

Primary DC Name *

Credentials *

Primary Registration Contact *

Email Address *

Mobile Phone *

City *

State *

Discount Code

Attendees

Step 2

Doctors Attending

Include the primary DC again if they are attending.

Name

Credentials

Staff Attending

Add each staff member who will attend the conference.

Final Details

Step 3

Total attendees entered

Please choose the same quantity on the payment page.

Accessibility Needs

After submitting, you will be redirected to our secure payment page. Please use the same email address and select the correct number of attendees so we can match your payment to your registration.

I confirm that the attendee information is accurate and understand that registration is not complete until payment has been submitted.

Your registration information is saved before payment.