SECTION C: TICKETED COURSES/EVENTS (check box at left, indicate number of tickets and total at right) SATURDAY, SEPTEMBER 9
Time o EV1: Dental Hygiene Symposium
o HW1: Hands-On Workshop: Managing Sedation Complication Part II Workshop o EV2: AAP/AAPF & Osteology Foundation Symposium o HW2: Hands-On Workshop: Vertical Ridge Augmentation
o HW3: Hands-On Workshop: Minimally Invasive Flap Technique for Regeneration o HW4: Hands-On Workshop: Surgically Facilitated Orthodontic Therapy with Piezocision™ o HW5: Hands-On Workshop: Paradigm Shifts in Maxillary Sinus Elevation o HW6: Hands-On Workshop: Vertical Ridge Augmentation
o HW8: Hands-On Workshop: Minimally Invasive Flap Technique for Regeneration o IW1: Insurance Workshop: Medical Coding
o IW2: Insurance Workshop: The Science of Coding IW2A-D
o IW2A: Insurance Workshop: Management of Diabetes Patients in the Dental Office o IW2B: Insurance Workshop: Guided Tissue Regeneration o IW2C: Insurance Workshop: Hard Tissue Augmentation
o IW2D: Insurance Workshop: Soft Tissue Grafting Around Implants o EV13: The Newest Strategies in Patient Attraction
SUNDAY, SEPTEMBER 10
o EV4: Predoctoral Educators Workshop o EV5: Predoctoral Directors Business Meeting
o IW3: Insurance Workshop: Primer 101 and 201 (both sessions IW3A-B) o IW3A: Insurance Workshop: Periodontal Coding Primer 101 o IW3B: Insurance Workshop: Periodontal Coding Primer 201 o EV6: Student and New Periodontist Session (SNP) Series o EV7: Student and New Periodontist Member Reception o EV8: AAPF Signature Recognition Event
MONDAY, SEPTEMBER 11
o EV9: AAPF Estate Planning Breakfast o EV10: Postdoctoral Educators Workshop o EV11: Postdoctoral Directors Business Meeting
OTHER o EV12: VIP Experience (full registration required)
8 a.m.–12:30 p.m. 7:30 a.m.–1 p.m. 8 a.m.–noon 8 a.m.–noon 8 a.m.–noon 8 a.m.–5 p.m.
8 a.m.–5:30 p.m. 1–5 p.m. 1–5 p.m.
9 a.m.–noon 8 a.m.–4 p.m. 8–9:30 a.m.
10–11:30 a.m. 12:30–2 p.m. 2:30–4 p.m. 8 a.m.–noon
Time 1– 4:30 p.m.
11 a.m.–12:30 p.m. 9 a.m.–4 p.m. 9 a.m.–noon 1–4 p.m.
Noon–2:30 p.m. 6:30–8:30 p.m. 7–10 p.m.
Time 6:30–8 a.m.
8:30 a.m.–noon 12–1:30 p.m.
Cost $99
$1,150
Complimentary* $750
$1,150 $950
$1,350 $750
$1,150 $250 $275 $80 $80 $80 $80
Complimentary* Cost
Complimentary** Complimentary*** $450 $250 $250
Complimentary**** Complimentary**** $125
Cost Complimentary
Complimentary***** Complimentary******
Cost $200
Quantity Total $
Availability is limited for ticketed courses/events. Visit
perio.org for the most up-to-date information and availability. The AAP cautions participants for CE activity about the potential risks of using limited knowledge when incorporating new techniques and procedures in their practice.
SECTION B: TICKETED COURSES/EVENTS TOTAL $ *Complimentary with full attendee registration
**Complimentary for AAP member invitees with Predoctoral Educator designation ***Complimentary for AAP member invitees with Predoctoral Director designation
LIABILITY WAIVER AND PAYMENT INFORMATION (must be completed and signed in order for registration to be processed)
By registering for this meeting, I acknowledge and assume all risks associated with participation in the meeting and any associated events and/or activities, without limitation. I hereby knowingly waive and release the American Academy of Periodontology (AAP), the American Academy of Periodontology Foundation (AAPF), their employees, directors, officers, volunteers, agents, and successors from any and all claims, liabilities, or causes of action, including without limitation, death, bodily injury, property damage, or other loss or damages arising from my participation in this meeting and associated events and/or activities.
Signature PHOTOGRAPHY DISCLAIMER
The American Academy of Periodontology (AAP) and the American Academy of Periodontology Foundation (AAPF) reserve the right to photograph, videotape, and otherwise capture events and attendees of this conference. I hereby grant the AAP and AAPF the nonexclusive, perpetual right to use and publish my name, likeness, image, and voice in all forms and all media or forms of communication whether now existing or hereafter developed.
Signature
**** Complimentary for AAP Student Members and AAP Active Members who have completed residency within the last two years
*****Complimentary for AAP member invitees with Postdoctoral Educator designation ******Complimentary for AAP members with Postdoctoral Director designation
PAYMENT INFORMATION TOTAL AMOUNT DUE FROM SECTIONS A-C
o I have enclosed a check, drawn in U.S. funds (from a U.S. bank), in the amount of
o Please charge my credit card in the amount of Quantity Total $ Quantity Total $
Quantity
Total $
$ _________
$ __________ $ __________
o MasterCard (16 digits) o Visa (13 or 16 digits) o American Express Card Number CVC code
EXP Date (MM/YY) Print Card Holder’s Name Signature
Save time and register online at
perio.org/meetings.
Date
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76