Kansas Funeral Directors Association
2017 Convention Registration
April 30-May 3, 2017
Wichita, KS
Firm Name ________________________________________________________________ City ________________________
Phone ___________________________ Fax ___________________________ Email ________________________________
Early bird” discounts apply for many events. “On Site Registration” will result in higher costs. In order for you to qualify for “Early bird” prices, we must receive
your registration no later than April 24, 2017. Checks payable to: KFDA.
LM = Licensed Member (FD, Emb, Asst.)
NLM = Non-Licensed Members (includes Apprentice)
SP = Spouse (Non-licensed) Licensed spouses must pay member rate
NM = Non-Member
Students -Free Registration Only
Fee for meal events
Registrant Names (Please print or type)
Convention
After April
Sunday
Monday
Networking
Registration
24th
Bowling
Golf
Lunch
$30
$75
$30
LM $115
NLM $90
SP$85
NM $400
LM $125
NLM $100
SP $95
NM $425
Grand
Young
Opening
Prof.
of Displays
Outing
Free but
ticket
required
Free
Tuesday
Lunch
Free but
ticket
required
KFDA
Tailgate
Party
Free but
ticket
required
TOTAL
$
$
$
$
$
$
$
MAKE MORE COPIES OF THIS FORM IF MORE SPACE IS NEEDED!
TOTAL AMOUNT DUE $
KFDA Refund Policy: The registration fee is fully refundable. On ticketed events, a refund will be awarded only if cancellation is received by
Noon, April 26th, unless we are able to resell your ticket.
Help us to ensure comfortable accommodations by indicating how many plan to attend each session.
Monday, May 1
Keep Your Funeral Home Alive (2 CE)
OSHA Staff Training (2 CE)
Networking Luncheon (1 CE)*
OVS Update (.5 CE)
Facebook Made Easy (1 CE)
Got Ethics? (2 CE)
Grand Opening of Displays*
Young Professionals Outing
Tuesday, May 2
Breakfast
KFDA Annual Meeting (1 CE)
# Attending
8:30-9:30 a.m.
9:45-11:35 a.m
11:45-1:00 p.m.
1:15-1:45 p.m.
2:00-3:00 p.m.
3:20-5:00 p.m.
5:00-7:30 p.m.
7:45-10:00 p.m.
KFDA Tailgate Party*
7:45-8:30 a.m.
8:30-10:00 a.m.
10:15-1:15 p.m.
1:30-3:00 p.m.
3:20-5:00 p.m.
5:15 p.m.
Wednesday, May 3
Resolving Family Complaints (1.5 CE)
Crematory Operator Continuing Ed. Course (2 CE)
Crematory Operator Certification Course (6 CE) (extra fee)
Embalming Seminar (2.5 CE)
8:30-9:45 a.m.
8:15-9:55 a.m.
8:15-2:45 p.m.
10:10-12:30 p.m.
Exhibits with Lunch*
Active Shooter (1.5 CE)
FTC Funeral Rule Compliance (2 CE)
*Tickets Required! Tickets will be
required for several convention events
including the Networking Luncheon,
Grand Opening of Displays, Tuesday
Lunch and the KFDA Tailgate Party.
There are charges in addition to
convention registration for Bowling,
Golf, and the Networking Luncheon.
There is no charge for the Grand
Opening of Displays, the Tuesday
Lunch, and the Evening at the KFDA
Tailgate Party.
KFDA use only!
Date received:
Please complete and return on or before April 26, 2017 to:
KFDA
1200 S. Kansas Avenue
Topeka, KS 66612-1375
Fax to: 785-232-7791
Email to: [email protected]
__________
Check Number: __________
Check Amount: __________
QB _____ WA _____