Weekend Kickoff CE Registration Form

Weekend Kickoff CEs 2026

Registration Form
Ready to earn 3 Continuing Education credits while enjoying great food and connecting with colleagues? 🦷✨

🥗 Lunch Includes:
• Southwest Chicken Salad
• Seasonal Fruit & Bread Basket
• Tea & Coffee
• Chef's Choice Dessert 🍰

Invest in your professional growth, earn your CE credits, and enjoy an afternoon with fellow dental professionals.

🎟️ Register today—spots are limited!
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
ADHA Member #
My Products
prevnext( X )
ODHA Member Registration

$75.00 QuantityAllergies/Food Restrictions?



ODHA Non-Member Registration

$100.00 QuantityAllergies/Food Restrictions?



Volunteer: Community Outreach Project
Volunteers will assemble oral hygiene goodie bags and deliver them on Friday, November 13th to community organizations across Columbus. Each bag will include essential oral hygiene supplies to help individuals and families access the tools they need for healthier smiles.

Free Quantity



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty: