Registration Form

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    Registration

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    KP Non-Disclosure Agreement

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    National Bargaining Session Selection

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    Terms and Conditions

  • Please click here to sign the KP Non-Disclosure Agreement (NDA).
  • You will be redirected to DocuSign, to sign your NDA. Please return to this page to complete and submit your registration.


This NDA:

  • Allows access to confidential business information not typically disclosed during traditional bargaining.
  • Does not prevent you from discussing bargaining.
  • Helps ensure that sensitive operational or financial details shared in confidence remain protected.
  • You are only required to sign the NDA once, regardless of how many sessions you attend.

CIC Member Registration

Please check all applicable sessions.

Important Information

  • Hotel reservations are your responsibility. Reservation links are provided below based on the session(s) you select.
  • Kick off Session is reimbursable through the Union Travel Fund (UTF.) The travel expense for all the other sessions will not be reimbursable through the UTF.
  • Email confirmation will be sent, including the sessions you registered for and hotel booking links.

Observer Registration

Session Selection

Please click on box which session you are attending

Important Information

  • Observers are responsible for making their own hotel reservations Reservation links are provided below based on the session(s) you select.
  • Email confirmation will be sent for all sessions you are registered for including the corresponding hotel booking links.

Staff Registration

Important Information

  • Hotel reservations are your responsibility. Reservation links are provided below based on the session(s) you select.
  • Email confirmation will be sent, including the sessions you registered for and hotel booking links.

Everyone registering will be signing up for session 12

  • Session Details and Hotel Information:

  • Intercontinental Downtown San Diego (901 Bayfront, San Diego, CA 92101).

  • December 15th – December 16th, 2025

Please see the photo release form details below:

  1. Kaiser Permanente LMP Photo Release Form
  2. Alliance of Health Care Unions Photo Release Form

To confirm your registration, you must indicate Yes or No under each set of Terms and Conditions listed below.

I, irrevocably consent to the unrestricted use all photographs of me and all images created therefrom for or by  Kaiser Foundation Health Plan, Inc. Kaiser Foundation Hospitals, and the Permanente Federation, and their  affiliates, subsidiaries, participating organizations and agents, collectively referred to as 'The Kaiser Permanente  Medical Care Program' ('Kaiser Permanente'); the Alliance of Health Care Unions, its participating labor organizations and their agents, collectively referred to as 'the Alliance Unions' ('Alliance'); the Kaiser Permanente Labor Management Partnership, its affiliates and agents ('LMP'); all of which are collectively referred to  herein as "Releasees".

Scope of Consent:  Releasees may use my name, and such photographs and images for any and all purposes associated with the Kaiser Permanente Labor Management Partnership, including, but not limited to, art, advertising, promotional, education and web and in all media, including electronic, video, digital and print media,  without further compensation to me. I certify that I am not a minor and am free and able to give such consent.

Term:  The term of this consent shall be fifteen (15) years from the date of my signature below. Upon expiration of this release, KP may continue to use until depleted any existing materials which incorporate my name, image or voice but will not create any new materials incorporating same.

Waiver:  I waive any right to approve: 1) the finished photographs, images or printed matter that may be used in connection with my name or photographs taken of me: and 2) the eventual use of any of the foregoing. I acknowledge that the LMP owns all rights in these photographs, and I waive any claims that I have or may have based on their usage of the photographs or works derived therefrom.

Release:  I hereby release and hold harmless Releasees, their agents and the photographer from all damages and liability that may arise from or in connection with the use of my name, the photographs taken of me, or the images created therefrom.

Entire Agreement:  This agreement constitutes the sole agreement between Releasees and myself regarding my modeling services, and I am not relying on any other oral or written representatives made my LMP.

Alliance of Health Care Unions -Release and Consent Agreement – For Photos, Audio, Name, and Creative Works Use with Alliance Union Members, Professional Models, Others:

I, the undersigned registrant in exchange for valuable consideration received, hereby irrevocably consent to the unrestricted use of Alliance of Health Care Unions “Alliance,” and Alliance union affiliates, the Kaiser Permanente Labor Management Partnership, subsidiaries, and the irrespective directors, officers, employees, agents, customers, successors and assigns (collectively “Alliance”) of the following:

  • Photographs/Video Recordings: any and all photographs and/or video recordings taken of me and all images created from such recordings (collectively “Images”).
  •  Audio Recordings: any and all audio recordings made of my voice and all recordings created from such recordings.
  • Name/Statements: my name and any stories, statements or quotes I have provided (whether quoted or paraphrased, with or without enhancements)
  • My Personal Artwork, Photos or Other Creative Works:  paintings, songs, stories, videos, photographs or other original, creative works (“Creative Works”) which I created and have submitted to Alliance of Health Care Unions for its use.

Scope of Consent.  Alliance may use my name, images, audio recordings, statements and/or Creative Works as indicated above, for any and all purposes, including but not limited to use in promotional materials, health education materials, public relations, professional education, and art, and in all media, including electronic, digital, Internet, and print media, without further compensation to me. I certify that I am not a minor and am free and able to give such consent.  (If the person is a minor, a parent or guardian must complete the relevant section below.)

Term. This consent shall become effective immediately and shall remain in effect until November 1, 2033.

The term "Consideration" means any and everything you might have received from Alliance in exchange for your participation, whether it’s a gift card or just the fun of being a part of our promotional activities.

Waiver. I waive any right to approve: 1) the finished photographs, Images, audio recordings and/or statements made by me, and any marketing materials or other printed, video or digital matter that may be used in connection with my name, images, audio recordings, statements and/or Creative Works; and 2) the eventual use of any of the foregoing. I acknowledge that Alliance owns all rights in the photographs, Images, audio recordings and/or statements made by me and I waive any claims that I have or may have based on its usage of them or any works derived from them.

License: As to the Creative Works, I hereby grant to Alliance a world-wide, non-exclusive, royalty-free, irrevocable, sublicensable and transferable license to use, distribute, modify, reproduce, publicly perform and publicly display the Creative Works and any related materials for any and all purposes and in all media.

Release and Warranty.  I hereby release and hold harmless the Alliance from all damages and liability that may arise from or in connection with the use of my name, Images, audio recordings, statements and/or Creative Works. I warrant and affirm that I own all rights in the Creative Works and have the full legal right and authority to grant the Alliance permission to use them. I further warrant that I have the written consent of each and every identifiable individual person in my Creative Works to use their likeness for the purposes identified herein.

Entire Agreement. This consent form is the sole agreement between Alliance and me regarding my participation in the project and I am not relying on any other oral or written representations made by Alliance.

If you're already registered, click the link below to manage your account and programs.