This form is intended for recipients of the Continuing Education Grants to Support DEI Scholarship who have been designated to receive a complimentary registration for the ACRP 2024 conference.


Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page ( Important: Delete this tip before you publish the form.
Are you also a ACRP 2024 exhibitor or speaker?(Required)

Billing Information

If you have requested any registration items that require additional payment we will reach out with an invoice. Please provide billing contact information below. Please note that completing this form does not automatically register you for the conference. Our team will follow up with an official confirmation once you are registered.
Billing Contact Name


If you have not yet booked a hotel room for ACRP 2024, please go to LINK to book your room.
If desired, please share any additional information related to your registration request.