2021 JDVAC Conference
Virtual Delivery
March 1-3, 2021
Participant Registration Form

Step 1 of 2: Please complete the form below and click 'Continue' to initiate your participant registration.


Important Registration Information
Registration will be open from November 15, 2020 - February 28, 2021

On Demand access to all conference materials and presentations will be available to all registered attendees for 30-days post conference.

Conference Cancellation Policy: A $50.00 cancellation fee will be assessed should you choose to cancel your conference registration on or after Monday, February 22, 2021.

Once formally registered, you will receive via an email and calendar hold a link to access the virtual conference platform that will include the agenda, conference information and materials as well as access to the sessions scheduled for March 1-3, 2021. Links to the conference site will be sent out to registered attendees 72-hours prior to the start of the program.


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

Cost: $99

 


Billing Information "KIVA CONSULTING INC" will show up on your billing statement.
 
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
 
You will have the opportunity to pay by credit card after confirming your registration on the next screen.