Registration Form


pdf Download Registration Form

STEP 1

2018 KATPO Annual Continuing Education Program & Tech Bowl
Friday- Saturday, February 23-24, 2018
Save up to $50 per registrant when you become a member BEFORE you register for the program.
Applicant Information

Employer Information




*To register as a Member, see KATPO Membership Application

*To register as a Member, see KATPO Membership Application -
Save up to $50 per registrant when you become a member BEFORE you register for the program




registration schedule



*Limited number of attendees accepted into class, based on date of receipt of Program Registration*

Please use chart options above to answer questions below.

Please Select Which Class You Prefer to Attend


12:45-1:45pm Afternoon Sessions



 

Please Rank Your Preference Topics from 1-3 (one = 1st choice, two = 2nd choice, etc.)


1:45-2:45pm and 1:45-5:00pm Afternoon Sessions



 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Please Rank Your Preference Topics from 1-3 (one = 1st choice, two = 2nd choice, etc.)


2:45-3:45pm Afternoon Sessions


 
 
 
 
 
 
 
 
 
 
 
 


Please Rank Your Preference Topics from 1-3 (one = 1st choice, two = 2nd choice, etc.)


4:00 - 5:00pm Afternoon Workshops


 
 
 
 
 
 
 
 
 
 
 
 


Register and pay on-line above or mail Program Registration Form and payment to:

Mona Carpenter, COMT
515 Leawood Dr.,
Frankfort, KY 40601

* by February 14, 2018.
* Registrations received after February 14, 2018 will incur a $25 late fee. Late fee will be added to PayPal prices above on Feb 14th.
Make Checks/Money Orders payable to KATPO.

Discounted hotel room reservations are available to KATPO program attendees for $118 per night.
Please contact the Griffin Gate Marriott at 1-800-228-9290 for reservations by Feb. 14, 2018. For discount please mention KATPO meeting. This program registration form does NOT reserve a room for you.

*****This course has been awarded 10 JCAHPO credits*****