2026 VTC Symposium May 6-8, 2026 at the Bob Hope Patriotic Hall in Los Angeles, CA 2026 VTC Symposium Mentor Registration "*" indicates required fields May 6-8, 2026 Bob Hope Patriotic Hall in Los Angeles, CA. Please fill out this form to register as a Mentor.Mentor InfoMentor Name* First Last Primary Contact Phone*Primary Contact Email* Mentor County*Are you a mentor coordinator?*Select oneYesNoHow long have you been a mentor?*Have you attended a mentor training before?*Select oneYesNoIf yes, how long ago?*If yes, who hosted the training?*Are you part of a non-profit organization?*Select oneYesNoIf yes, which one?*The Justice For Vets Mentor Bootcamp on Thursday, May 7 is free of charge (one day only). Are you interested in participating in Day 1 and Day 3?*If yes, there will be a charge of $60. If no, there won’t be a registration cost, just meal preferences for Thursday. Yes - $60 No - Free of Charge Meal SelectionsDo you have any dietary restrictions?*Select oneNoYesPlease select your dietary restrictions: Vegetarian Vegan Gluten Free Dairy Free Other Please note your other dietary restriction:Thursday Lunch*Select oneNo, I would not like a lunch on ThursdayYes, I would like lunch on ThursdaySelect your Thursday Lunch Sandwich:*Select oneRoasted Turkey with cucumber, chipotle aioli, tomatoes, red onions and spring mixGrilled Bell Peppers with hummus and spring mixRoast Beef with cheddar cheese, caramelized onions, Dijon spread and spinachFriday Breakfast*Select oneNo, I would not like a breakfast on FridayYes, I would like breakfast on FridayPoliciesCancellation Policy*We understand that plans can change unexpectedly. If you determine that you cannot attend, you must notify us by April 15, 2026. You will get a full refund if you have paid for additional days. If you cancel between April 16 – May 6, 2026, you will get a partial refund of $30. Please email us at conference@wearecacc.org if you need to submit your cancellation. I agree to the cancellation policy on behalf of myself and/or my groupThis field is hidden when viewing the formPress, Photography and Recording ReleaseDuring the Symposium, CACC and others in attendance, including but not limited to the press, may be recording, photographing, and capturing the event in similar mediums, including but not limited to during plenary sessions, breakout sessions, and networking times. By purchasing a conference registration, you consent to being photographed, audio recorded, video recorded, and to having your name, voice, image, words, and likeness captured and reproduced in any media now existing or existing in the future (“Recordings), at the CACC Conference. You further grant to CACC the right to take and use Recordings with your name, voice, image, words, or likeness, for any lawful purposes, including but not limited to publications, exhibitions, web casts, promotional purposes, commercial uses, publications on websites, social media posts, marketing materials, research publications, podcasts, and news releases. You understand and agree that you have no rights to inspect or approve any Recordings, no property rights in Recordings, no rights to financial or other compensation from CACC for the use of your name, voice, image, words, or likeness. You release and waive any rights or benefits derived directly or directly from the use of Recordings with your name, voice, image, words, or likeness. You further release, waive and hold harmless CACC and its current and former officers, directors, employees, agents, affiliates, or representatives from any claims, damages, costs, or expense (including attorneys’ fees) arising from or related to the Recordings, except to the extent caused by the gross negligence or intentional misconduct of CACC. Don’t see an answer to a question? Email us at conference@wearecacc.org! I agree to the Press, Photography and Recording Release policy on behalf of myself and/or my groupPress, Photography and Recording Release*During the Symposium, CACC and others in attendance, including but not limited to the press, may be recording, photographing, and capturing the event in similar mediums, including but not limited to during plenary sessions, breakout sessions, and networking times. By purchasing a conference registration, you consent to being photographed, audio recorded, video recorded, and to having your name, voice, image, words, and likeness captured and reproduced in any media now existing or existing in the future (“Recordings), at the CACC Conference. You further grant to CACC the right to take and use Recordings with your name, voice, image, words, or likeness, for any lawful purposes, including but not limited to publications, exhibitions, web casts, promotional purposes, commercial uses, publications on websites, social media posts, marketing materials, research publications, podcasts, and news releases. You understand and agree that you have no rights to inspect or approve any Recordings, no property rights in Recordings, no rights to financial or other compensation from CACC for the use of your name, voice, image, words, or likeness. You release and waive any rights or benefits derived directly or directly from the use of Recordings with your name, voice, image, words, or likeness. You further release, waive and hold harmless CACC and its current and former officers, directors, employees, agents, affiliates, or representatives from any claims, damages, costs, or expense (including attorneys’ fees) arising from or related to the Recordings, except to the extent caused by the gross negligence or intentional misconduct of CACC. Don’t see an answer to a question? Email us at conference@wearecacc.org! I agree to the Press, Photography and Recording Release policy on behalf of myself and/or my group I opt out of the Press, Photography and Recording Release policy on behalf of myself and/or my group CACC Conference Partners Registrant Information Release*You agree to allow CACC to share your registration information with partners, staff members, and volunteers as deemed necessary. Don’t see an answer to a question? Email us at conference@wearecacc.org! I agree to the CACC Conference Partners Registrant Information Release policy on behalf of myself and/or my group I opt out of the CACC Conference Partners Registrant Information Release policy on behalf of myself and/or my group Billing InformationBilling Name* First Last Billing Email* Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How would you like to pay?* Credit Card Check TotalPrice for this attendee Credit Card Cardholder Name Card Details Contact Us If you have questions about the conference or registration please email conference@wearecacc.org.
