Step 2 of 4 (Registration Form)

Iowa Athletic Trainers' Society Annual Meeting
Donation Only - donation

Saturday, April 18, 2026 in Cedar Falls, IA at Hilton Garden Inn

($0.00)

Please enter your registration information in the form below. When you are finished, click the "Proceed to Confirmation Page" button to continue. Required fields are marked with a *.

Participant Account login

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Personal Information

Please enter the requested information about you (or the person for whom you are registering). Be sure the contact details are correct so that we can provide important, registration-related information.

first name

last name

Address Information

address

postal code

city

Contact Information

email address

By providing your email you will be automatically signed up for a GMR account

re-type email

primary phone

secondary phone

Questions & Add ons

1. What is your place of employment? (Optional - to be used for name tag)

What is your place of employment? (Optional - to be used for name tag)

2. (Confirm if Donating)

* I confirm the following statements are true and accurate.
* Yes, I understand that my contribution to the Coalition for Iowa Athletic Trainers Political Action Committee is strictly voluntary and that I have a right to refuse to contribute without reprisal. PAC funds will be used for political purposes and contributions will be made to candidates for state office.
* I understand that my contribution is not tax-deductible as a charitable contribution for federal state tax purposes.
* I certify that I am legally eligible to contribute to CIATPAC, and that I am a U.S. Citizen and am not a federal contractor.
* I certify that this contribution is from my personal account and not a corporate account.

I Confirm

Do You Want To Contribute To The Iowa PAC, The Coalition Of Iowa Athletic Trainers?

Donation ($25.00)

Donation ($50.00)

Donation ($100.00)

No Thank You

Payment Information

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Since this is a free registration, your payment information is only required if you have selected additional registration options in the form above.

credit card number

Expiration

security code

Copy name, country, address, postal code, city, and state/province from above?

name on card

billing street address

billing postal code

billing city

Proceed to Confirmation Page

Iowa Athletic Trainers' Society Annual Meeting Donation Only - donation