Date: August 2, 2024
Time: 8:00 AM to 5:00 PM
Venue: TCEA Conference Center
3100 Alvin DeVane Blvd. Building B,
Austin, TX 78741

Hotel: Courtyard Austin Airport
Start Date: July 31, 2024

End Date: August 3, 2024

Learn more and join the conference group rate at: https://www.texasoralhealthconference.com/hotel.html

Demographic Information

Thank you for your interest in attending the 2024 Texas Oral Health Conference. To reserve your seat, please complete the information below.

To view conference details including course descriptions, objectives, and speakers, please visit texasoralhealthconference.com/schedule.html.

Conference Registration:

	Conference Fee	TxOHC Active Member Fee
Early Bird Registration	$175.00	$150.00
After Early Bird Registration	$200.00	$175.00

TxOHC Active Membership

Check here if you are an active member of the Texas Oral Health Coalition. You will need to insert your member ID # on the next page in order to receive your discount.

Are you interested in becoming a TxOHC Active Member to receive discounted Conference registration and other benefits throughout the year?

I would like to join the Texas Oral Health Coalition as an Active Member.

Conference Poster Presentations

My submitted poster presentation was accepted by the Texas Oral Health Conference.

Full Name *

Credentials *

Name of Employer *

I am a(n): (choose all that apply) *

I am employed in: (choose all that apply) *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

*

Please confirm your email address is correct

Will you allow your name and email address to be published in an attendee list for our Conference partners? *

Yes

No

Please select all dietary restrictions that apply:

Please detail below your food allergy(s).

Please select the presentation title of your accepted presentation from the list below.

PHOTO/VIDEO DISCLAIMER

I acknowledge that photos or videos may be taken during the Texas Oral Health Conference and that any and all such recordings or photographs from this event, including images of me, any data or visual material I may present, and/or statements I may make may be used by the collaborating partners, TxOHC or THI on websites, social media, mass media and printed materials for educational, promotional, and communication purposes.

In order to protect the intellectual property of each presenter, I agree not to take pictures or videos of presentation slides without their consent. I am aware that presenters are encouraged to share their presentations after the conference on the TOHC website.

This consent is given in perpetuity and does not require prior approval by me. *

I have read and accept all the terms and conditions in the above disclaimer.

Electronic Signature: (Please type your First and Last Name) *

Signature Affirmation *

I affirm my electronic signature is the legal equivalent of my manual signature.

2024 Texas Oral Health Conference Registration

Demographic Information

PHOTO/VIDEO DISCLAIMER