KPTA 2019 Fall Conference

Past Event

Held: November 15, 2019

Contact: Julie Newman

Registrant Information

First Name *

Last Name *

Credentials

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Street *

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Phone

APTA ID * (type n/a if not applicable)

License Number

I am Registering for the Conference as a
	PT Member
	PTA Member
	Student Member
	Life Member
	PT Non-member
	PTA Non-member
	Student Non-member

GENERAL CONFERENCE: Choose Registration Level		Price

GENERAL CONFERENCE: Select Programs/Courses
Track	Title
Friday	11/15/2019 \| 1:00 PM - 4:15 PM General Session *Review Program Descriptions Here*
Saturday	11/16/2019 \| 8:30 AM - 5:15 PM Track 1: Orthopedic Only one track can be selected on Saturday *Review Program Descriptions Here*
Saturday	11/16/2019 \| 8:30 AM - 5:15 PM Track 2: Rural Health Only one track can be selected on Saturday *Review Program Descriptions Here*

OPTIONS: Please Select		Price
Friday Evening Social	Friday Evening Social - PAC Fundraising @ Paisley Pear	$0.00
Saturday	Business Lunch – Free to KPTA members	$0.00
Saturday	Business Lunch – NON KPTA members	$12.00

Please answer the registration questions
If you have a current subscription to the CEU LOCKER, answer YES and the educational sessions will be entered to your dashboard
Please enter any dietary restrictions: Vegetarian, Dairy Free, Vegan, or Medically Necessary Gluten Free

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