Emeritus Member Registration

Emeritus Member Registration

Enter your full name and email, share your home address if you’d like, and acknowledge the 25-year eligibility attestation.
Emeritus Membership status shall be granted to a professional or life member who has maintained continuous professional membership or has maintained continuous professional membership interrupted by student membership for a period of at least 25 years and has retired from the field of dentistry/dental assisting or has become totally and permanently disabled and wishes to refrain from the privileges of ADAA Professional Membership on both the National and State levels. ADAA Emeritus Fellows and Masters may keep their designations as long as they remain Emeritus Members.
Full Name

First NameLast Name
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Should be Empty: