Important Registration Information
Registration will be open from October 1, 2024 - April 6, 2025

On-site registration will only be available until Friday, April 4, 2025. Beginning Saturday, April 5th, the late registration fee will apply. Please consider registering online in advance.

Registration Details
Company Title:
First Name:   Last Name:
Address:
City:   State:   Zip:
Phone:
Email:   Personal Email:
 
Are you a: Student   Military   VA   Indian Healthcare   Mil-Civilian   Other
 
Branch:

Cost: $350, Late registration: $400

How would you like your name to appear on the Name Badge?
(No degree or rank designators, please)
What location/city/military installation would you like listed on your name badge?
  Monday Night: Social Event - Party's HERE!! Join us for our Shore Party!
  Tuesday Night: On Your Own - Enjoy & explore Atlantic City Boardwalk.
Will you be attending Monday lunch? Yes   No
Will you be attending Tuesday lunch? Yes   No
Will you be attending Wednesday lunch? Yes   No
Would you be interested in attending a Council for Accreditation in Occupational Hearing Conservation (CAOHC) Course Director Workshop schedule for Thursday, April 10th after JDVAC 2025? Yes   No
Exhibit hall CEUs will once again be available at JDVAC 2025 thanks to our exhibitor partners. Select exhibitors will be providing 15 minute evidence-based presentations. Attendees will earn .5 CEUs for every 2 sessions they attend and may earn up to 2.5 total CEUs from these offerings. These exhibitor presentations will be available throughout the conference during all designated times on the agenda and may be accessible through the Attendee Hub app as well.
Please provide comments
Please indicate special dietary needs/restrictions

   

Conference Cancellation Policy: Once your registration is complete and processed, you will be charged $75 fee for cancellation. No refunds will be granted after billing.

Please also remember that if you cancel your attendance for the conference you must also cancel your hotel accommodations. If not, you will be charged for the reserved room. Confirm any cancellations with Cheryl@kdpartnersinc.net.

 


Billing Information
 
Registration Amount: $0.00
 
Please click here if paying by check. Checks should be addressed and sent to: KIVA Consulting, Inc. - 18445 HWY 105 West, Ste 102, Montgomery, TX 77356
 
My purchasing agent will contact you with payment information.
 

****You must reserve your room on the separate link. Your registration above is for the conference portion ONLY.****

This is the final page of the registration. Clicking the 'Continue' button below will submit your request. You will have the opportunity to pay by credit card on the next page.