Health Futurism Registration

Use this form to register for upcoming Health Futurism Conference. The same form is also used for workshop proposals and scholarship applications.

This is October 7-9 in Kansas City

Contact Information

  • Register here for the Health Futurism conference. Do the top half if you just want to attend, and fill in the lower parts if you want to present or need a scholarship.

Registration Details

  • Fill out the sections that apply to you.


  • If you don't need a scholarship, YOU ARE DONE REGISTERING NOW . Great job! Scroll down to the submit button at the bottom and make your donation in the next step. Use the donate button to the right. ---->>

Keynote and Presenter's information

  • If you want to present or be a keynoter, use this form to tell us your expertise.

Scholarship Application and Business Coaching