2026 Kipu Customer Conference

Elevate 2026

The Kipu Customer Conference

April 22-24, 2026

Registration Deadline: Monday, March 23rd, 2026

If you have questions regarding logistics, registration, or hotels, please contact
Julie Hagan at julie@eesagency.com.
Registration Information
Select Registration Type:
prevnext( X )
Attendee - Executive (Early Bird Pricing)Early Bird Ticket Pricing Currently Available Through December 31, 2025
$699.00



Attendee - Super Admin (Early Bird Pricing)Early Bird Ticket Pricing Currently Available Through December 31, 2025
$699.00



Kipu Partner (Sponsor)
$ Free



Kipu Consultant
$ Free



Speaker
$ Free



Staff
$ Free



Total

$0.00
Attendee Information

*Please note: Special requests submitted below will be requested on your behalf but cannot be guaranteed.
Legal Name*

First NameLast NameSuffix – MD, etc. (Optional)
Preferred First Name for Name Badge
Title*
Company*
Email Address*
Cell Phone*
Dietary Restrictions*

NoneLactose IntolerantVeganGluten FreeVegetarianPeanut AllergyShellfish AllergyTree Nut AllergyPescatarianOther
Would you like to play in The Kipu Cup - Executive Golf Tournament, held on April 22 at 10:00 AM?*

YesNo
Hotel Reservation Information

Upon completion of this form, a hotel room will be booked for you at The Omni La Costa Resort & Spa during our event dates. Check in is on Wednesday, April 22, 2026 and check out is on Friday, April 24, 2026.

If you wish to arrive earlier and/or stay later for personal reasons outside of business related extensions, you are personally responsible for the cost associated with the extension. If you have questions, please reach out to the planning team.
Will you need a hotel room?*

YesNo, I am localNo, I have other accomodations
Would you like to extend your stay past the event dates of Wednesday, April 22 & Friday, April 24, 2026?*

No, I do not need a hotel room outside of the event datesYes, I want to extend my stay for personal reasonsYes, I need to extend for approved Kipu business reasons
Extension Notice

If you plan to extend your stay pre or post event, it will be at your own expense at the group rate of $329++ per night. Your extension request is based on availability. Pre/post conference extensions will be paid for through the individual participant's credit/debit card at check in (unless otherwise communicated) and cannot be expensed back to the master.
Confirm Arrival Date*

MonthDayYear
Date
Confirm Departure Date*

MonthDayYear
Date
Please Choose Your Room Type Preference (based on availability at check-in).

1 BedTwo (2) Beds
Do You Have ADA Requirements To Be Accommodated?*

YesNo
Please Provide Details Regarding Your ADA Needs.
Hotel Special Requests
By hitting “Reserve My Seat” I understand that Kipu health and/or EES may desire to film, record, and photograph the Event and may, in doing so, capture my image or likeness. I hereby grant to Kipu Health and EES, including their agents, assigns, and licensees, on my own behalf, the right to film, videotape and/or sound record, and photograph me in connection with the Event, and to use my name, photo, film, image and/or likeness captured therein.
Should be Empty:

Registration Information

Attendee Information