Register for Wasted Days

Please fill out our meeting registration form!

First Name
Last Name
Name Suffix
Address 1
Address 2
State/Province/Territory (Outside North America)
Zip/Postal Code
Phone (day)
Phone (cell)
E-mail address
State/Province/Territory Licensed in:
Name and Position of Each Team Member Attending
Total # of persons attending the retreat:
# of course attendees attending Friday night dinner:
# of additional guests attending Friday night dinner at $100 each:
Date of Event You Are Registering For
In case of an emergency at the meeting, please contact this person:
Do you currently treat patients for sleep apnea?Yes   No  
On average, how many appliances do you seat per month?
Do you own/use any home sleep test units?Yes   No  
Are you currently using a dedicated EMR or software for your sleep practice?Yes   No  
Arrival Date
Departure Date
Travel or other information you would like the event staff to know
Are there any special accommodations you need to make your conference experience more comfortable? (i.e., hearing assistance, accessibility, diet considerations)
Where did you learn about this course?
Elite Code, if any
# of dentists at $995 each
# of team members at $495 each
Total Registration Cost
Credit Card Type
Credit Card #
Card Code
Cancellation Policy: Full refund less a $50 handling charge will be given if you cancel in writing 30 days prior to the opening of the meeting. No refund will be made for cancellations after this date.
The organization reserves the right to substitute lecturers or to cancel or reschedule sessions due to low enrollment or other unforeseen circumstances.

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Our Newest  Event:

Wasted Days and Sleepless Nights

 Newly Registered Speakers:

Rubin Cheek

Fred Weiner

J.A. Shapira


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"The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn."
   -- Alvin Toffler

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Phones and Pagers at Meetings

When asked to turn off your phones and pagers at a meeting, what action do you take?
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I put it on vibrate
I leave it on ring
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