REGISTER FOR CLASSES Make a one time payment with your credit or debit card We accept Visa, MC and Discover What Are You Registering For Today? (Select All That Apply)* Seven-Hour Dental Assisting Radiology 2Hr Radiology Review Nitrous Monitoring OSHA CDS Family and Friends Night with the Columbus Clippers Technology or Team? Seven-Hour Dental Assisting RadiologySeven-Hour Dental Assisting Radiology*PRICE IS PER PERSON. Please enter correct quantity of guests attending. Price: $195.00 Quantity: Select Course Date* Friday - July 15, 2022 (8:30am - 4:30pm) Friday - August 19, 2022 (8:30am - 4:30pm) Friday - September 23, 2022 (8:30am - 4:30pm) Friday - November 4, 2022 (8:30am - 4:30pm) Friday - December 16, 2022 (8:30am - 4:30pm) July 15th, Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)August 19th, Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)September 23rd, Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)November 4th, Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)December 16th, Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)OSHA LectureOSHA*PRICE IS PER PERSON. Please enter correct quantity of guests attending. Price: $65.00 Quantity: Select Course Date* October 20, 2022 - OSHA October 20th, OSHA Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)Monitoring Nitrous Oxide SedationMonitoring Nitrous Oxide Sedation*PRICE IS PER PERSON. Please enter correct quantity of guests attending. Price: $205.00 Quantity: Select Course Date* July 29, 2022 - Monitoring Nitrous Oxide Sedation November 12, 2022 - Monitoring Nitrous Oxide Sedation July 29th, Monitoring Nitrous Oxide Sedation Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)November 12th, Monitoring Nitrous Oxide Sedation Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)2Hr RadiologyCOVID safety protocols in place at all locations. If you can’t attend in person, call us at 614-895-2371 to arrange a viewing of our brand new 2 hour Radiology Review video. 2Hr Radiology Review*PRICE IS PER PERSON. Please enter correct quantity of guests attending. Price: $65.00 Quantity: Select Course Date* Grove City, September 1st - 2Hr Radiology Coshocton, September 29th - 2Hr Radiology Pickerington, October 6th - 2Hr Radiology Springfield, October 13th - 2Hr Radiology Westerville, November 17th - 2Hr Radiology Westerville, December 9th - 2Hr Radiology (Morning session) September 1st, 2Hr Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)September 29th, 2Hr Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)October 6th, 2Hr Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)October 13th, 2Hr Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)November 17th, 2Hr Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)December 9th, 2Hr Radiology Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)CDS Family and Friends Night with the Columbus ClippersAll tickets are $15 and include entry to the ballpark plus dinner. Rain or Shine!Member Dentist Name* August 3rd, Columbus Clippers Price: $15.00 Quantity: August 3rd, Columbus Clippers: Sponsor a Dental Student or Resident Price: $15.00 Quantity: Technology or Team?August 25th, Technology or Team?* Price: $39.00 Quantity: August 25th, Technology or Team? Attendees*Please list all attendee names (required) and mailing addresses (for CE Credit)Contact Details*This information is requiredContact Name* First Last Contact Email* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Details*This information is requiredEmail (for receipt)* Phone*Billing Address* Same as Mailing Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Secure Credit Card Card Holder* Card Number* Card Expiration* Card CVV* Total $0.00 CAPTCHA
