insession highlights - Wisconsin Dental Association

Transcription

INSESSION
HIGHLIGHTS
20
15
INSESSION
Mark Johnson
Thursday, Oct. 15, 8:45 a.m.
“Winning Teamwork” kick-off by Mark
Johnson*, UW women’s hockey coach
and member of the 1980 “Miracle on
Ice” Olympic Gold Medal hockey team.
Exhibit Hall
Thursday, Oct. 15, 4 - 6 p.m.
Welcome reception sponsored by
Wisconsin’s Largest Dental Study Club &
WDA House of Delegates
Monona Terrace | Madison | Oct. 15-17, 2015
online registration open!
Registering online is easy, efficient and provides
immediate information about course availability.
Note Interactive Learning Sessions are conducted
in small groups and can fill fast.
Registering online also provides you with email
confirmation once your registration is processed
and space has been reserved for you in your
chosen courses.
Visit WDA.org today to learn more about special
guests, continuing education courses, speakers and
facilitators, social events, exhibitors and to register
online!
Programs for Thurs., Oct. 15
Ron Dayne
Thursday, Oct. 15, 4:30 - 5:30 p.m.
Former UW tailback, Heisman Trophy
winner and two-time Rose Bowl MVP ,
Ron Dayne*, will sign autographs
and pose for photos with fans.
*Mark Johnson and Ron Dayne are
both tentatively scheduled to appear on
Oct. 15. More announcements to come.
Platinum Returns!
Thursday, Oct. 15, 8 p.m. - midnight
Back by popular demand, Wisconsin’s
own Platinum will perform a collection
of salsa, jazz, pop, rock, blues and
swing at Time to Party.
Snacks and two drink tickets per
person are provided.
Everyone is welcome!
Free admission, but please register in
advance so we can plan accordingly.
8 - 8:45 a.m.
#99 - Keynote
Winning Teamwork
Mark Johnson, UW-Madison women’s
ice hockey head coach, former National
Hockey League player and member of 1980 U. S.
Olympic “Miracle on Ice” Gold Medal hockey team
Audience: Everyone Welcome
The dental team is a principle building block of a
successful dental practice. Just as in the world of
sports, building a team requires more than randomly
collecting a group of individuals. Coach Johnson will
address foundations for building a successful team,
characteristics of an effective team player and how
to blend individual team member styles based on his
experiences playing on and coaching championship-caliber teams.
9 a.m. - 5 p.m. - All Day
#100/6 credits
Hands-On, $50 participation fee
Partners in Perio: Hand Scaling
and Ultrasonic Instrumentation
Techniques
Sherry Burns, RDH, MS
Audience: Dental Hygienists; Limited to 50
participants
Sponsored by
Learn to apply practical principles for confronting
clinical complications with dexterity, skill and confidence. The appropriate selection of hand instruments
combined with ultrasonic scalers will help maximize
performance, minimize stress and increase professional satisfaction.
9 a.m. – noon
#101/3 credits
Magical Teams and the
Practice of Your Dreams!
Joy Millis, CSP
Audience: Dental Team
What can you do to create an extraordinary practice
supported by a team of professionals who like each
other, encourage each other and serve patients with
enthusiasm and courage? Create a better practice
where you change peoples’ lives while you’re fixing
their teeth and working alongside them as a team.
#102/3 credits
Advanced Anterior Restorations
Stephen Poss, DDS
Audience: Dentists, Dental
Assistants
Strongly recommended as a prerequisite for
afternoon program #106.
This half-day lecture will include preparation design
for no preparation, minimal preparation and challenging aesthetic situations. Various types of porcelain
systems and their indications will be addressed and
the proper cementation for each of these systems will
be discussed.
#103/3 credits
Cone Beam Computed
Tomography
Edward Lin, DDS, MS
Audience: Dentists, Dental Assistants
This course is an overview of different cone beam
computed tomography units and practical applications in 21st century dentistry (i.e.. diagnosis and
treatment planning, surgery, pathology, airway
analysis, TMJ therapy).
#104/3 credits
Avoiding Medical Emergencies
in the Dental Clinic
R. Bruce Templeton, DMD
Given an aging population with many medical
comorbidities and the possibility of stress in the dental
clinic, life-threatening emergencies can occur anywhere, at any time and to anyone. To avoid medical
Continued inside...
house of
delegates
schedule
Thursday, Oct. 15
New delegate and alternate orientation:
11:15 – 11:45 a.m.
Reference and Election committees
orientation:
Noon – 12:30 p.m.
House doors open: 1 p.m.
First session of the House:
1:30 – 3:30 p.m.
Reference Committee open hearing:
3:30 – 4:30 p.m.
Reference Committee closed
executive meeting:
4:45 – to conclusion
(Should not exceed 8 p.m.)
Saturday, Oct. 17
Regional caucuses and breakfast:
7 – 9 a.m.
House doors open:
9 a.m.
Final session of the House:
9:30 a.m. – conclusion
Affiliated Schedule
Thursday, Oct. 15
American College of Dentists/
International College of
Dentists business meetings:
5:30 – 6:30 p.m.
ACD/ICD joint reception: 6 – 7 p.m.
ACD/ICD joint dinner: 7 p.m.
Friday, Oct. 16
Pierre Fauchard Academy breakfast
(invitation only):
7 – 8:15 a.m.
WDA Past-Presidents’ lunch/induction
(invitation only):
11:45 a.m. – 1:15 p.m.
Pyramids of Pride dinner:
6:30 – 9 p.m.
Join WDA President Dr. Paul Levine in
honoring and recognizing the contributions and achievements of our 2015
WDA Pyramids of Pride recipients.
Sponsored by:
For-Profit Divisions of:
WIDPAC dessert reception
(invitation only): 9 - 11 p.m.
Find complete course descriptions an
Please click on “WDA InSession & House o
emergencies and to provide care for patients should
a life-threatening situation occur, it is important for
the dental team to continually review the clinic’s
readiness and be prepared at all times.
2 - 5 p.m.
#105/3 credits
Getting Paid without Insurance
Involvement
Joy Millis, CSP
Is money the major roadblock preventing your
patients from receiving quality dental care? Patients
may be screaming, “I can’t do it unless my insurance covers it!” How can you get patients to go
beyond the “max” to receive and pay for quality
care? Ms. Millis will share her 12-step program for
making financial arrangements that increases the
likelihood patients receive care and you receive
payment for the value you provide.
#106/3 credits
Advanced Anterior Restorations
Stephen Poss, DDS
Audience: Dentists; Limited to
30 participants
Program #102 is strongly recommended as a
prerequisite for this course.
Sponsored by
Predictable and expedient methods for placing
aesthetic class IV polychromatic restorations will
be discussed. Techniques for simple, but accurate,
shade selection will be included. Then, clinicians will
design and prepare eight teeth for various veneers,
including all ceramic preparations.
#107/3 credits
Benefits of Early Interceptive/
Phase I Treatment in
Orthodontics
Edward Lin, DDS, MS
Audience: Dentists
Guidelines for appropriate timing of an orthodontic
referral and the incredible benefits of phase I treatment will be reviewed. Dr. Lin will also review the
tremendous benefits of expansion for non-extraction
treatment for protection of the patient’s profile, airway and smile.
#108/3 credits
Don’t Press the Panic Button Medical Emergencies in the
Dental Office: Case-Based
Learning
R. Bruce Templeton, DMD
This course uses case-based scenarios to improve
the dental team’s ability to plan for, manage and
handle office medical emergencies.
Programs for Fri., Oct. 16
8:30 a.m. – 5 p.m. All Day
#109/6 credits
Restorative Endodontics: A
Modern Standard of Care for
Long-Term Success
Lynne A. Brock, DDS, CAGS, FACD
Prerequisite for Saturday program #121.
Sponsored by
This Real World Endo presentation is highly practical and will describe in detail numerous facets of
clinical endodontics using a case-based learning
approach. Both a premolar and a molar clinical
case will be discussed to demonstrate basic and
advanced instrumentation and the obturation technique. Technique variations for more challenging
cases will also be shared. A new instrumentation
and obturation system (ESX®) that incorporates the
above concepts will be introduced.
8:30 – 11:30 a.m.
#110/3 credits
Engage Your People: Have
Them AFTER ‘Hello’!
Kelli Vrla, CSP
This fast-paced program offers quick “boots-on-theground” tips for getting and keeping dental teams
engaged and ready to handle today’s challenges.
#111/3 credits
Posterior Esthetic Restorations
Stephen Poss, DDS
Assistants
Strongly recommended as a prerequisite for afternoon program #116.
Differentiating total-etch adhesive systems, self-etch
adhesive systems and universal adhesives will be
addressed, including proper indications for using
each system and the latest technology available.
Posterior composites, especially the challenges of
class II and class IV restorations, will be discussed.
A quick and easy technique for placing a polychromatic direct anterior class IV restoration, as well as
an efficient way of placing direct composite veneers
will be demonstrated. Various materials for ceramic
crowns and their indications will be discussed.
#112/3 credits
Fit to Lead: The Peak Performance
Advantage for the Busy Dental
Professional
Uche Odiatu, DMD
Whether you are a dentist, dental hygienist, manager or dental assistant, improving your physical
condition will enhance everything you do. Being fit
empowers you to handle the enormous demands
of a grueling practice, tight schedules and stress.
Continued...
nd speaker biographies on WDA.org.
of Delegates” under the Dental Professionals tab.
Living a healthy, fit lifestyle can increase personal
productivity up to 25 percent. Learn and master three
little-known secrets to immediately increase your level
of personal energy.
#113/3 credits
Direct Composite Techniques:
Concepts Pushing the Boundaries
of Everyday Dentistry
Dennis Hartlieb, DDS
Composite resin is the most versatile and important
material in a restorative dentist’s armamentarium. Direct
resin bonding is unique to dentistry and the dentist has
complete control over design, color, contour, translucency and polish of the definitive restoration.
Understand the myriad of materials available in
today’s marketplace and determine which are the most
appropriate for use in daily practice. Layering techniques utilizing nanofilled and microhybrid composites,
opaquers, tints and microfill composites will be taught.
Contouring and polishing techniques will be reviewed
in detail.
#114/3 credits
The Seven Strategies of Highly
Successful Dental Hygiene Teams
Mary Govoni, CDA, RDH, MBA
Hygienists, Office Administrators
Move your dental hygiene department to the next success level by using key skills and following seven easy
strategies presented in this program.
2 – 5 p.m.
#115/3 credits
The 1% Quest to Better Your Best:
Resilience in Any Economy!
Kelli Vrla, CSP
Find out which success strategies serve you and which
ones swerve you from the path of superior excellence
in performance and productivity. Don’t miss these relevant, hit-the-ground-running tools to help you and your
team celebrate and accelerate in your quest to “Better
Your Best!”
#116/3 credits
Posterior Esthetic Restorations
Stephen Poss, DDS
Audience: Dentists; Limited to
30 participants
Program #111 is strongly recommended as a prerequisite for this course.
Sponsored by
This half-day, hands-on program begins with the challenges of placing direct class I and class II composites
in an expedient predictable manner. This includes
placing class I and II by utilizing sonic-activated, bulkfilled composite technology. Different matrix systems,
adhesives and obstacles that can mean the differ-
ence between success and failure will be discussed.
Indications of when an indirect restoration should be
considered will also be explored.
#117/3 credits
You Snooze You Lose: You and
Your Sleep-Deprived Patient
Uche Odiatu, DMD
As many as 30 percent of Americans work evening
shifts, overnight or rotating shifts; upwards of 65 percent of shift workers suffer from some type of sleep
disturbance. This sleep debt goes far beyond dark
circles and bags under the eyes. From early cognitive
decline and memory loss (challenges following postop instructions and remembering daily home care) to
immune system issues (hyper-inflammatory states and
poor wound healing), a large number of dental patients
are affected.
#118/3 credits
Reality or Resin: Free-Hand
Artistry with Anterior Bonding
Dennis Hartlieb, DDS
This presentation is designed to teach dentists and
dental teams about the materials needed for anterior
direct resin bonding and proper techniques for creating
beautiful, life-like restorations.
No longer does the dentist need to rely solely on the
expertise of laboratory technicians to create esthetic
restorations.
#119/3 credits
Making the Connection Between
Oral and Systemic Health
Mary Govoni, CDA, RDH, MBA
This course will present an overview of current research
findings and assist participants in developing strategies for implementing education programs that utilize
technology and other communication tools to identify,
diagnose, create a treatment plan and follow up with
at-risk patients.
#120/3 credits
Situational Dentistry - When You
Just Have to Do Something
Mark Malterud, DDS, MAGD, FACD
Strongly recommended as a prerequisite for Saturday
program #122.
This lecture will present the diagnostic and restorative
protocols that embody the philosophy that the best
dentistry is no dentistry. Caries prevention, identification
and removal protocols that follow a minimally invasive
biomimetic philosophy will be discussed. Early detection
of caries and remineralization or early restoration can
set a tooth up for long-term success. The materials,
preparation designs, equipment and techniques that
have led to 25 years of resin bonding success will be
presented.
Continued on back...
exhibit hall
Support Your Exhibitors
Visit the exhibit hall where the newest
dental-related equipment and supplies
will be on display in more than 100
booths. Meet knowledgeable personnel
ready to answer your questions. The
WDA and the Annual Session Committee
encourage you to patronize our exhibitors with your orders as a way of recognizing their contributions to InSession
2015. Bring your orders to the exhibit
hall to take advantage of the many show
discounts and to demonstrate your support for the vendors’ participation.
Exhibit Hall Hours:
Thursday, Oct. 15: 11 a.m. – 2 p.m.
AND 4 – 6 p.m.
Friday, Oct. 16: 8 a.m. – 2 p.m.
Welcome reception on Thursday,
Oct. 15: 4 – 6 p.m.
Sponsored by:
Lunch served from 11:30 a.m.
to 1:30 p.m. on Thursday and Friday.
Maximize your time in the exhibit hall
by enjoying a complimentary lunch
at the food stations.
Sponsored by:
Visit exhibitors to win fabulous
prizes, including gift certificates for
The American Club, Kalahari Resort
& Waterpark and more. The more
exhibitors you visit, the more chances
you have to win.
Best of all, you pick your prize!
...continued from inside
Interactive Learning
Sessions for Fri., Oct. 16
8:30 – 10 a.m. = Program “a”
10:15 – 11:45 a.m. = Program “b”
Sponsored by
For-Profit Divisions of
#200a or #200b/1.5 credits
Keys to Success for the New
Dentist
Tanner J. McKenna, DDS, FAGD
Audience: Dentists
In this informal, roundtable discussion, get a clear
understanding of what success means to you. Defining
success for yourself will result in more enjoyment in
your professional and personal lives. New and recent
graduates and dentists curious about changing their
current practice situation are encouraged to attend.
Power Up Your Clinical Skills
Nancy Miller, RDH, BA
Audience: Dental Hygienists
The evolving use of air polishers to manage subgingival biofilm is all the buzz. Learn how their use, along
with power scalers, is becoming the standard of care in
dental hygiene.
Prevent Abuse and Neglect
through Dental Awareness
(P.A.N.D.A.)
Donald O. Simley II, DDS, FACD, FICD
The P.A.N.D.A. program provides education to dental
professionals to aid them in recognizing suspected
cases of child abuse and neglect. Learn how to recognize the signs of possible abuse and/or neglect
through photos and if you suspect it, how to report it.
#203a or #203b
1.5 credits
Dental Practice Finance –
a Complete Look
Rick Shneyder and
Galen Van Otterloo
Audience: Dentists
This course will look at dental practice financing
options for dentists in all phases of practice. Full practice acquisitions, partial practice purchases, expansions
(e.g., additional locations, construction, equipment purchases) and start-up financing will be covered.
204a or #204b/1.5 credits
Social Media and Dentistry
Matt Vandermeuse
Take your practice to the next level with social media.
Bring smart phones and tablets (optional) and learn
something new!
Implant Complications
Kendra Schaefer, DMD
Audience: Dentists
This course will highlight common implant complications. Restorations of implants and common pitfalls of
implant dentistry will be discussed.
Pediatric Dental Hygiene:
Managing Today’s Children,
and More Importantly, Their
Parents
Allison Dowd, DDS
In an age of Dr. Google, many parents come into dental offices with their own expectations and thoughts on
their children’s dental health. This session is designed
to help dental hygienists learn how to navigate those
expectations and motivate parents to take an active
part in their children’s oral health.
Public Speaking
Marc Whitney
This session will provide tips and techniques to aid
you in public speaking regardless of the size of your
audience. Small group exercises will help participants
practice what they learn.
So Many Root Canal Anatomies,
So Many Instrument Choices,
So Little Time
David Landwehr, DDS
With all of the confusion and misinformation around
what might be the “best endodontic file system”, it is
increasingly more difficult for practitioners to make
informed choices about which design features can
achieve the best clinical outcomes.
This session will place special emphasis on glide path
management using a dedicated rotary glide path
instrument. Several different final instrumentation
systems will be discussed.
Programs for Sat., Oct. 17
8:30 – 11:30 a.m.
#121/3 credits
Hands-On, $50 participation
fee
Restorative Endodontics:
A Modern Standard of Care
for Long-Term Success
Lynne A. Brock, DDS, CAGS, FACD
Audience: Dentists; Limited to 50
participants
Program #109 is a prerequisite for this hands-on
course.
Sponsored by
This hands-on session provides participants with
the opportunity to use Real World Endo techniques.
Witness first-hand how they will change your
practice of endodontics.
Please bring two to four accessed, extracted teeth
that are patent to the apex with a size 10 hand
file. Also, please bring a sample of your current
rotary instrumentation system for comparative
evaluation (bring at least one or two size 25 tip
rotary files from your current system).
#122/3 credits
Hands-On, $50 participation
fee
Situational Dentistry/
Biomimetic Dentistry
Workshop
Mark Malterud, DDS, MAGD, FACD
Audience: Dentists; Limited to 30
participants
Program #120 is strongly recommended as a
prerequisite for this hands-on course.
Biomimetic dentistry treats weak, fractured and
decayed teeth in a way that restores their strength
and seals them from bacterial invasion. Participants
will gain a better understanding of biomimetic dentistry and learn new skills for approaching difficult
restorations.
Find complete course descriptions and speaker
biographies on WDA.org. Please click on “WDA
InSession & House of Delegates” under the Dental
Professionals tab.
THANk YOU 2015 insession sponsors
The Annual Session Committee greatly appreciates the support of our 2015 WDA InSession sponsors.** Please help us thank them by stopping by their booths.
**List accurate as of April 15, 2015.
2015 PRICING STRUCTURE & PACKAGE OPTIONS
(with session selections)
Registration and Fees
All attendees must complete a registration form (online, fax or mail) to receive a
name badge which is required to enter the exhibit hall and classrooms. Flat rate,
full-time and part-time packages are available. The more courses you attend,
the more you save!
Hands-on courses have a participant fee to cover supplies and materials. The
cost is noted by the course listing.
Morning coffee and lunch on Thursday and Friday are included in ALL CE
packages.
Attendees fall into six categories:
• Member dentist – Dentists who are members of the Wisconsin Dental
Association and/or American Dental Association.
• House of Delegates delegation member – Individuals serving as a delegate,
alternate delegate or a member of the WDA Board of Trustees in 2015.
• Nonmember dentist – Nonmember dentists are those individuals who are not
WDA and/or ADA members.
• Dental team member – Dental team members may attend InSession without
their dentist – whether or not the dentist is a member. Special pricing on continuing education programs is available for WDA dental hygienist and associate
members.
Associate membership is open to dental assistants, business/office personnel and
dental laboratory technicians. Dentists and dental hygienists are not eligible for
associate membership.
To become an associate or dental hygienist member or to renew your membership for 2015, select the corresponding registration category online and then
indicate that you are joining/renewing your membership. When using the paper
registration form, dental hygienists, dental assistants, business/office personnel
CODE
Full Conference Package
In Advance On site
A1
A2
A3
Member Dentist
House of Delegates Member
Non-Member Dentist
$315
$200
$515
$360
$245
$560
A4
Member Dental Team*
$170
$190
A5
A6
Non-Member Dental Team/Guest
Student**
$195
FREE
$215
FREE
CODE
Part-time Package - Thursday Only In Advance On site
B1
B2
B3
B4
B5
Member Dentist
Non-Member Dentist
Member Dental Team*
Student**
$140
$175
$75
$95
FREE
CODE
Part-time Package - Friday Only
In Advance On site
C1
C2
C3
C4
C5
Member Dentist
Non-Member Dentist
Member Dental Team*
Student**
$185
$350
$110
$140
FREE
CODE
Part-time Package - Saturday Only
In Advance On site
D1
D2
D3
D4
D5
Member Dentist
Non-Member Dentist
Member Dental Team*
Student**
$75
$100
$40
$65
FREE
$170
$205
$90
$115
FREE
$210
$375
$130
$165
FREE
and lab technicians should indicate “YES” to the corresponding question and pay
the related dues amount.
Dues are based on the calendar year and nonrefundable.
• Nonmember dental team/guest – Dental team members may attend InSession
without their dentist. Dental team members who are not a WDA dental hygienist
or associate member pay the nonmember dental team rates, regardless if their
dentist employer is a WDA member.
Guests are non-dental attendees (e.g., spouse, child, friend that does not work
in a dental office). Guests must be sponsored by a dentist registered for the WDA
InSession. Sponsors must verify their guest is not a dentist or a vendor. If it is determined the guest is a dentist, the sponsor agrees to reimburse the WDA for the
appropriate registration fee. Guests may visit the exhibit hall and participate in all
InSession activities based on the conference package selected.
Spouses of dentists who are also dentists must register as a DENTIST.
Spouses of dentists who are not dentists themselves, but work in a dental office
may register as GUEST or, when appropriate, as DENTAL HYGIENIST, DENTAL
ASSISTANT or BUSINESS/FRONT OFFICE PERSONNEL.
Spouses are subject to the registration fee as described above. A spouse who is
not a dentist, but is a member of the ADA Alliance, may register as a WDA
associate member (ASM) to receive the lower registration fee.
• Students - Students are enrolled in Marquette University School of Dentistry, the
Wisconsin Technical College System or an advanced training program at a
dental school or hospital. They are admitted free to all InSession programs except
hands-on courses. Students wishing to attend a hands-on course are responsible
for the participant fee.
PLEASE specify attendee category and package plan when registering.
Note: All vendors must register through their company using the Exhibitor Service
Center. Only vendors who are exhibiting may participate in the WDA InSession.
CODE
Part-time Package Thursday and Friday
In Advance On site
E1
E2
E3
E4
E5
Member Dentist
Non-Member Dentist
Member Dental Team*
Student**
$260
$450
$135
$175
FREE
CODE
Part-time Package Friday and Saturday
In Advance On site
F1
F2
F3
F4
F5
Member Dentist
Non-Member Dentist
Member Dental Team*
Student**
$235
$500
$115
$155
FREE
CODE
Exhibits/Lunches Only
In Advance On site
G1
G2
G3
G4
G5
Member Dentist
Non-Member Dentist
Member Dental Team*
Student**
$30
$80
$25
$45
FREE
$285
$460
$155
$195
FREE
$260
$550
$135
$170
FREE
$40
$90
$35
$55
FREE
$85
$110
$50
$75
FREE
Note: Hands-on courses have a $50 participation fee to help cover the cost of materials, supplies and equipment. This per enrollee per hands-on course fee is in addition to the
package plan fee. Fees are noted by the individual course listings when applicable. Hands-on participation fees are not waived for students.
*Member Dental Team is defined as: dental hygienist; dental assistant; front office staff (e.g., receptionist, office manager, business manager) working in a dental practice and
dental lab technician. These individuals must be WDA members. They need not work for a WDA member dentist.
Individuals on the dental team may join the WDA or renew their WDA membership as part of the InSession registration process. Dental hygienist dues are $75; WDA associate
member dues for all other individuals on the dental team are $20. Dues are nonrefundable and based on the calendar year.
**Students are enrolled in Marquette University School of Dentistry, the Wisconsin Technical College System or an advanced training program at a dental school or hospital.
2015 REGISTRATION
PLEASE PRINT OR TYPE (One person per registration form):
Name:
Office Name:
Job Title:
Membership Number:
Street Address:
Email (required):
Phone:
Are you an assistant, front office or lab tech joining or renewing as a WDA Associate Member?
YES m NO m DUES: $20
Are you a dental hygienist joining or renewing as a WDA Hygienist Member? YES m NO m DUES: $75
Dues are for the calendar year and are nonrefundable.
Package Plan Code: ______________
Fees: $______________
Hands-On Participation Fee(s): $______________
Meals and Social Events
Morning coffee and lunch are included in ALL CE package plans. Please indicate each meal you will attend.
WILL ATTEND
WILL NOT ATTEND
4
4
4
4
4
4
4
4
4
4
4
Thursday Coffee (8 - 10 a.m.)
Thursday Lunch (11:30 a.m. - 1:30 p.m.)
Thursday Time to Party (8 p.m. - midnight)
Friday Coffee (8 - 10 a.m.)
Friday Lunch (11:30 a.m. - 1:30 p.m.)
$25 fee
Friday Pyramids of Pride Dinner (6:30 - 9 p.m.) attendance limited to 200
PLEASE INDICATE COURSE SELECTIONS FOR THE DAY(S) INCLUDED IN YOUR PACKAGE PLAN:
(All courses are ticketed, so you must select them in advance.)
THURSDAY: 8 - 8:45 a.m. - Keynote 9 a.m. - 5 p.m. - All-day, hands-on for RDHs
#____________
#____________
OR select one in each of the two session times below
9 a.m. - noon 2 - 5 p.m. #____________
#____________
#____________
FRIDAY: 8:30 a.m. - 5 p.m. All-day lecture OR select one ILS in each of the two session times below and an afternoon course
8:30 - 10 a.m. 10:15 - 11:45 a.m. 2 - 5 p.m. OR select one in each of the two session times below
ILS a #______________
ILS b #______________
#______________
8:30 - 11:30 a.m. 2 - 5 p.m. SATURDAY: 8:30 - 11:30 a.m. #______________
#______________
#______________
Number of hands-on courses _____ x $50 = $_____________
Hands-on courses: #100
#106
#116
#121 #122
Pyramids of Pride Dinner Fee: $ ______________
TOTAL DUES & FEES: $___________
PAYMENT METHOD:
m
Check
Credit Card Number:
m
VISA
m
MasterCard
m
Expiration Date:
Discover
CVS Code for this Card:
Name as it Appears on Card:
Billing Address:
Authorized
Signature:
SEND COMPLETED REGISTRATION FORM TO:
By Mail: WDA - InSessionBy Fax:
414-276-8431 orOnline:
At WDA.org
6737 W. Washington St., Suite 2360
800-864-2997 (toll-free)
West Allis, WI 53214
PREREGISTRATION DEADLINE: Wednesday, Oct. 14, 2015. Package pricing increases on site.
CANCELLATION/REFUND POLICY
All cancellations must be made at least 24 hours prior to the class start time. Course cancellations are subject to a $25 cancellation fee per attendee.
NO EXCEPTIONS. Refund checks will be mailed after Nov. 1, 2015. Credit card cancellations will be credited to the account to which they were
charged. Dues are nonrefundable and based on the calendar year.

insession highlights - Wisconsin Dental Association

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