2026 Annual Conference OF CHINESE American Physicians Club of Houston Registration

DATE: 09/26/2026

Time: 3-10 PM

Address: Fung’s Kitchen 7320 Southwest Fwy #115, Houston, TX 77074

Registration Deadline 9/12/2026

Consent for the use of personal information

We value your privacy and respect your right to control how your personal information is used. This document serves as a consent agreement, outlining the terms and conditions under which CAPCH and its 2026 annual meeting’s sponsors may use your personal information. You authorize CAPCH and its 2026 annual meeting’s sponsors to use your personal information for the following purposes:

Publicity and Press Releases:

Your name, photos and workplace information may be mentioned or disclosed in publicity materials, press releases, and media coverage related to CAPCH or its initiatives.

Internal Use:

Your photos, name, and workplace information may be used for internal purposes within CAPCH, such as presentations, reports, and internal communications. Your name and workplace information may be shared with this meeting’s sponsors with CAPCH’s review and approval.

Please note the following important considerations:

a. We will make reasonable efforts to ensure that your photos, name, and workplace information are used in a responsible and respectful manner, consistent with the purpose outlined above. b. CAPCH will not sell or share your personal information with third parties without obtaining additional consent from you.

c. You have the right to withdraw your consent at any time. If you decide to withdraw your consent, please notify CAPCH in writing, and we will cease using your photos, name, and workplace information in the specified manner within a reasonable time frame.

d. CAPCH cannot be held responsible for the use or disclosure of your personal information by third parties once it has been shared publicly, such as on social media platforms or in the press. Please review this document carefully.

Name
中文名字 (optional)
工作单位 (optional)
Business Address (optional)
How many people will be attending the meeting/banquet including yourself? (minimum 1, maximum 2, max one guest per attendee, age 16+)
For any questions related to registration, please contact us at capch2022@gmail.com. For any questions related to payment, please contact capchpayment@gmail.com.

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Clear Signature
Please sign your name in the signature box. By submitting this form, you acknowledge that you have read and understood the terms and conditions outlined in this consent agreement and grant permission for CAPCH and its 2026 annual meeting’s sponsors to use your personal information as specified.

CAPCH