Hosted Team Pass Submissions

A team member has offered you an opportunity to join them as a Hosted Agent at Medicarians Vegas. Please complete the following form to apply for a complimentary pass.

Please note: Completing this form does not guarantee your pass. All submissions are reviewed and approved by the Medicarians team. For new registrations only. No refunds for prior purchases.

First name *

Last name *

Email Address *

Company *

Website URL *

Job Title *

Your NPN

Your LinkedIn

Physical Address (GDPR Compliance)? *

Would you like to apply for Hosted Agent Plus for $395?*

* Upgrade your Medicarians experience with a $395 Hosted Agent Plus Pass. Select 'Please Add Me' Below if interested.

Includes All Benefits of Hosted Agent Pass, plus:

Exclusive Lounge with Refreshments
Priority Registration Desk
Private Networking Function
Dedicated On-Site Help
Extended Access to Video Playback

No ThanksYes, Please Add Me

I understand that if I am selected as a Hosted Agent, I will be required
to join at least one sponsored session of my choice.
Note: The list of participating sponsored sessions will be shared with me
by show management three to four weeks from Medicarians Vegas 2026.*

YesNo

Any Comments or Questions?

Hosted Team Pass Submissions

Would you like to apply for Hosted Agent Plus for $395?*

I understand that if I am selected as a Hosted Agent, I will be required to join at least one sponsored session of my choice. Note: The list of participating sponsored sessions will be shared with me by show management three to four weeks from Medicarians Vegas 2026.*

I understand that if I am selected as a Hosted Agent, I will be required
to join at least one sponsored session of my choice.
Note: The list of participating sponsored sessions will be shared with me
by show management three to four weeks from Medicarians Vegas 2026.*