Register | Aging & Adult Services

Aging and Engaging with a Purpose

Due to COVID-19 the 2021 Aging and Adult Services Conference, at the Golden Nugget Hotel in Biloxi, May 25-27, 2021 has been canceled. Thank you.

First Name*

Last Name*

Organization*

Email Address*

Address*

Address 2

City*

State*

Zip Code*

Phone*

Secondary Phone

Registration Type*

Will you be attending the reception? (Must RSVP no later than April 19, 2021)*
$40.00 for non-conference attendees

Will you be accompanied by a guest?

Please enter your guest's name

*A fee of $40.00 for non-conference attendees.

Will you be accompanied by a guest?

Please enter your guest's name

*A fee of $25.00 for non-conference attendees.

Please list any food allergies/restrictions

*No more than 2 people per booth. Vendors are asked to bring a door prize with a value of $25 or more. One Extra Person allowed - $90

Additional Person?*

First Name*

Last Name*