Elite Broker Celebration Registration Form

To register as an attendee for the Elite Broker Celebration in Nashville, TN on March 3-4, 2026, please fill out the form below. If you have any questions, contact Katie Volpentesta at katie.volpentesta@lucenthealth.com.

Personal Information

Name

Email Address

Company Name

Phone Number

Travel Details

How are you traveling to Nashville?

Arrival Date

Departure Date

Are you bringing a plus one?

Yes

No

If yes, please list their name and email.

Will you need a hotel room?

Yes

No

If yes, please check the boxes for the evening(s) you'll need hotel accommodations for.

March 3

March 4

Please list any allergies, dietary restrictions, or ADA accommodations you may need:

If you have already booked your flight, insert your flight details here (ex: flight departure and arrival time).

What is your preferred polo size?

If you have any questions or comments, please leave them here. A member of the Lucent Health team will reach out shortly to help answer any questions you may have.

Thank you for your registration. The Lucent Health team will be in touch in the coming days/weeks with more information. Check out the main event page for more details leading up to the event.

There was an error trying to submit your registration. Please review the fields and ensure you've completed the required fields. If you are still running into issues, please reach out to Katie Volpentesta at katie.volpentesta@lucenthealth.com.