Registration must be postmarked/accepted by September 25th

Name/credentials:_________________________________________________________________________Address:_________________________________________________________________________________City/State/Zip_____________________________________________________________________________Profession:_______________________________________________________________________________Phone__________________________Email:____________________________________________________

 **Print this page and mail to address below with your check- or use the PayPal buttons to pay online

KATA member: $80



Non-member: $100



Student member: $30



Student non-member: $50



Register day of: $120

 

 

Make checks payable to KATA and send payment to:

Melissa Kochen 8205 W. 72nd St. Overland Park, KS 66204

PayPal is available for credit card payments! Just click the button under the “upcoming events” section at our website kansasarttherapy.org

PayPal receipt is verification of conference registration.  Please email: melissaangsten@gmail.com with any dietary restrictions for lunch