Joint Conference and Professional Development Registration Form
Professional Development is in a paid military status pending approval.
Those attending Professional Development in a paid military status are required to attend all PD sessions in duty uniform.
Lodging / DTS reimburseable for those on orders outside of 50 miles through assigned unit.
Full Name
*
First Name
Last Name
Rank
*
Please Select
O1
O2
O3
O4
O5
O6
O7
O8
WO1
WO2
WO3
WO4
WO5
E1
E2
E3
E4
E5
E6
E7
E8
E9
Retiree
Civilian
Branch
*
Please Select
Army
Air
Civilian
Unit
Civilian Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Association Membership (Membership is not required to attend)
Please Select
NGAKS
EANGKS
Other State
Not a Member, I would like information on membership.
Other State Membership
Do you or your Guest(s) have any dietary or accessibility requirements?
Guest 1 Name
First Name
Last Name
Guest 2 Name
First Name
Last Name
Child 1 for Friday Evening Childcare (Childcare is provided at no cost)
First Name
Last Name
Child 1 Age
Child 2 for Friday Evening Childcare
First Name
Last Name
Child 2 Age
Child 3 for Friday Evening Childcare
First Name
Last Name
Child 3 Age
Child 4 for Friday Evening Childcare
First Name
Last Name
Child 4 Age
Will your family participate in the Family Programs activities on Saturday?
Yes
No
Are you playing in the Golf Tournament? (If yes, please add teammate names below)
Yes
No
Golf Team Player 1
Golf Team Player 2
Golf Team Player 3
Golf Team Name
My Products
*
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Joint Conference & Professional Development E6, WO2, O3 and below
Friday Social, Awards Gala, Hospitality Night, Association Business, Meeting, Industry Partner Exhibits
$
90.00
Quantity
1
2
3
4
5
6
7
8
9
10
Joint Conference & Professional Development E7, WO3, O4 and above
Friday Social, Awards Gala, Hospitality Night, Association Business Meeting, Industry Partner Exhibits
$
110.00
Quantity
1
2
3
4
5
6
7
8
9
10
NGAKS/EANGKS Joint Conference Retirees and Guests
Friday Social, Awards Gala, Hospitality Night, Association Business Meeting, Industry Partner Exhibits
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Golf Tournament - March 26 - Trails West, Ft Leavenworth
Three-man teams with fourth player being an Industry Partner Representative
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Register
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