Register

Please take some time to prepare your information before you start the registration process, this form will take no more than 5 mins to complete. Do not navigate away from the page without submitting the form first. If you do, the information will not be saved, and you will need to start the process again.

Once completed, you will receive an email confirmation. Please be sure to check your junk folder just in case!

If you're ready to register for your trip, complete the form below. We can't wait to see you there!

Salutation
First Name
Last Name
Badge Name
Email
Cell Phone
Address
City
State
Zip Code
Country

Do you have any Food Allergies

Do you have any Dietary Restrictions?

Vegan - Check for Yes

Vegetarian - Check for Yes

Do you have any medical conditions we should be aware of?

Shirt Size

clear selection

S - Men's

M - Men's

L - Men's

XL - Men's

XXL - Men's

XXXL - Men's

S - Women's

M - Women's

L - Women's

XL - Women's

XXL - Women's

Birthdate (MM/DD/YYYY)

Emergency Contact Information [REQUIRED]

Please enter your emergency contact's name, relation to you, phone and email in the box below. PLEASE list someone that is not traveling with you in order for us to have a contact should we need to reach them.

Legal Name for Room Reservation

Hotel Check in Date [REQUIRED]

Hotel Check Out Date [REQUIRED]

Bed Type

Accommodations will be based on availability at the time of check in and requests will be met as best they can.

Please specify your Bed Type preference below

Room Requests

Do you have any special requests for your room? (ie; Feather pillows, close to elevator, etc)

Comments

I grant permission to Xylem and its affiliates to use video/photos of my likeness at the 2026 Neptune Benson Partner Summit for marketing distribution, including on the internet, social media, and via eblast. [REQUIRED]

I agree