Here is the 2 step process to complete your registration:

Step#1: Complete the following contact information in the registration table.

Be sure to complete all fields!

Step#2: (Nonmembers only) Click on the appropriate payment option to complete payment for your registration.

 

Contact information:
Full Name & Credentials:
ADAA ID:
Email address:
*Nonmembers-Name on credit card for payment:
Attending Thursday Lunch (yes or no):
Request information on:
Please list any dietary restrictions:

 

Nebraska Dental Assisting Member Registration:
 
 Nebraska Dental Assisting Members and Nebraska Dental Assisting Student Members: FREE to Attend Thursday Meetings!



Non-Members Registration:

 $160 - With an option to utilize these funds for ADAA membership - JOIN US! *If becoming a member, we will register you on site the day of the meetings at the registration desk. 

Non Member - Thursday Only $160.00 if registering before March 31st

Non Member - Thursday Only $160.00+$40 late fee if after March 31st - April 10th


 

 

All student registerations forms must be submitted through your Dental Assisting school faculty to our NDAA Vice-President Renae Zarybnicky rzarybnicky@southeast.edu  

 

**No refunds after the March 31st deadline.