2022 CE Program INDIVIDUAL Registration

2022 KATPO CE and Annual Meeting Registration

First Name

Preferred name

Last Name

Certifications

Phone

Street Address

Street Address Line 2

City

State

Postal / Zip code

Are you a KATPO member?

Are you an ATPO member?

Emergency Contact and phone number

Employer

Employers Phone Number

Employer Street Address

Employer City

State

Employer Street Address Line 2

Postal / Zip code

KATPO MEMBER

KATPO General CE Program Saturday February 5, 2022 GENERAL SESSION ALL DAY $200

KATPO General CE Program Saturday February 5, 2022 GENERAL SESSION MORNING/COA REVIEW AFTERNOON $200

TECH BOWL Friday February 4, 2022 $100

COA afternoon review only (no credit offered) Saturday February 5, 2022 $75

NON- MEMBER

KATPO General CE Program Saturday February 5, 2022 GENERAL SESSION ALL DAY $250

KATPO General CE Program Saturday February 5, 2022 GENERAL SESSION MORNING/COA REVIEW AFTERNOON $250

TECH BOWL Friday February 4, 2022 $100

COA afternoon review only (no credit offered) Saturday February 5, 2022 $75

Enter the total amount of above choices. This will be amount to pay on PayPal.