Thank you for planning to attend the 2018 KDHA/KDP Dental Therapist Advocacy Day! Your voice is critical to show state legislators it is time to bring dental therapy to Kansas. Advocacy Day is Wednesday, January 24, 2018. The day will begin at 8:30 a.m. The Kansas Dental Hygienists' Association will schedule all legislative visits, train supporters to visit with legislators, and provide morning refreshments and lunch. In order to schedule legislative visits, we request you register by Sunday, January 14.
 
When you are finished, please click "Done" to complete your registration. We will send more detailed information via email as Advocacy Day approaches. 
You can contact the Kansas Dental Hygienists' Association at andrea@gachesbraden.com or at (785) 234-7998. Thank you for your support!

* 1. Will you be able to attend Advocacy Day on January 24th, 2018?

* 2. What is your name?

* 3. What is your email address?

* 4. What is your home address? (We will use your address to determine who your legislators are and schedule your appointments.)

* 5. What is your hometown address?

* 6. Do you have any other regional connections (hometown, educational institution, etc.)?
(This information helps us connect dental therapy supporters with legislators across the state.)

* 7. Are you a Dental Hygienist, a Dentist, Dental Hygiene Student, or faculty?

* 8. If you are a dental hygiene student, which school are you attending?

* 9. If there is a particular legislator who you would like to meet with, please let us know:

* 10. Do you have any dietary restrictions?

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