Continuing Education

      82nd Annual Convention of Gulf State Dental Association

  June 12 through June 16, 2019

    Schlitterbahn Waterpark & Resort

      100 Padre Blvd.,  South Padre Island, Texas 77597

          Reservation # 956-761-1160

Nightly Room Rate: $169.00 plus taxes

                           Gulf State Dental Association of Texas 2019 Meeting Schedule

Wednesday, June 12, 2019                   

7:00 – 9:00 PM                                           Business Meeting

Thursday, June 13, 2018             

8:00 AM -4:00 PM                                      Registration

8:00 AM -12:00 PM                                   TBD

12:00 AM – 1:00 PM                                  Boxed Lunch and Learn Presentation

                                                                  

1:00 PM -5:00 PM                                      TBD

                                                                    

 7:00 PM -10:00 PM                                    Opening Session/Get Acquainted Reception                                                                           (Casual Attire)

 Friday, June 14, 2018

8:00 AM – 4:00 PM                                        Registration

8:00 AM – 12:00 PM                                   TBD                                                    

12:00 PM – 1:30 PM                                    Admirals Club Lunch (By Invitation)

12:00 PM – 1:30 PM                                     Boxed Lunch and Learn                       

 1:30 PM – 5:00 PM                                     TBD

                                                                            

Saturday, June 15, 2018

 

8:00 AM – 2:00 PM                                   Arthur J. Riddle, DDS Memorial Scholarship                                                                           Golf Tournament                                                                  

                                               

7:00 PM -12:00 AM                                   Banquet Dinner, Dancing (Casual Attire)

                                                                   Presentation by UT Dental Students

                                                                             

                                                2019 GSDA REGISTRATION FORM

 

Name__________________________________________________________                    

Spouse/Guest____________________________________________________                 

Address_________________________________________________________

             _________________________________________________________

Phone__________________________________________________________

Email___________________________________________________________

Children/Ages____________________________________________________

Special Dietary Request: ______________________________

 

FEES:                                                                                                                                                     DUES:

Late Registration                        $350.00              $_________

Dentist-Member                        $300.00            $_________                                         GSDA    $100.00   ___________                                                                                                                                                             

Dentist-Non Member                  $400.00              $_________

Spouse/Guest                            $175.00              $_________                                               NDA      $395.00   ___________

Hygienist/Assistant-                  $100.00               $_________

Hygienist/Assistant                   $150.00               $_________

Children                                    $  60.00              $_________

Dinner Only Sat. Night               $  70.00              $_________       

(Ticketed Event)

Golf Tournament                     $125.00               $_________       

Golf Hole Sponsor                 $75.00                $_________                                           TOTAL   $______________________

CPR ( minimum # needed)     $30.00                $_________

Retired Dentist                       $200.00              $_________

 

Registration Deadline May 15th

No Checks accepted on site and no refunds after Registration Deadline       

$35 Service Charge for Returned Checks

I acknowledge the accuracy of above fees and agree to pay the total amount listed above.

 

Signature:  ______________________________________________________________________

 

Mail to:  Gulf State Dental Association    c/o Dr. DAVID EMMERS

6962 BELLFORT  AVENUE        HOUSTON, TX.  77087              

Make check payable to: Gulf State Dental Association

 

Approved PACE Program Provider FAGD/MAGD Credit
Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement.