Page 10- IJCAHPO’ s 53 rd Annual Continuing Education Program
Registration Form
IJCAHPO ' s 53 rd Annual Continuing Education Program
NAME IJCAHPO ID #
ACE 2025 Registration Packages |
Certified( COA, COT, COMT, CDOS, ROUB, OSC, CCOA) |
Non-Certified |
Amount |
On or Before Oct 16
Harold A. Stein, MD Lecture
FREE WITH ANY ON-SITE PACKAGE THAT INCLUDES FRIDAY ATTENDANCE.
3-Day On-Site Package
Includes 3-day access to on-site courses( Oct 17 – 19). Purchase additional on-demand courses for $ 10 per credit hour. List courses in the table below.*
On-Site
On or Before Oct 16
On-Site
$ 275 $ 400 $ 375 $ 500 $
FREE
ON-SITE PACKAGES
2-Day On-Site Package
Check one: �Fri, Oct 17 & Sat, Oct 18 � Sat, Oct 18 & Sun, Oct 19 Purchase additional on-demand courses for $ 10 per credit hour. List courses in the table below.*
1-Day On-Site Package
Check one: �Fri, Oct 17 �Sat, Oct 18 �Sun, Oct 19 Purchase additional on-demand courses for $ 10 per credit hour. List courses in the table below.*
Military & Veterans 3-Day On-Site Package
Register by mail or fax only! Includes 3-day access to on-site courses( Oct 17 – 19). Purchase additional on-demand courses for $ 10 per credit hour. List courses in the table below.*
$ 250 $ 350 $ 300 $ 400 $
$ 200 $ 250 $ 250 $ 300 $
$ 200 $ 300 $ 275 $ 400 $
Additional On-Demand Courses
Additional on-demand courses are $ 10 per credit hour when purchased with any of the on-site packages above. List courses in the table below.*
__________ Credit Hours x $ 10 $
VIRTUAL PACKAGE
Virtual On-Demand Package
( Oct 1 – Nov 12) Over 50 online courses to choose from for a base price plus $ 10 per credit hour. List courses in the table below.*
|
$ 50 base + ___ Credit Hours x $ 10 |
$ 100 base + ___ Credit Hours x $ 10 |
$ |
* Courses must be selected at the time of registration. |
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Additional On-Site Options |
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Certification Exam Prep Sessions
ACE registration not required for purchase. List courses below.*
$ 55 COA /$ 75 COT /$ 95 COMT / $ 95 CDOS & ROUB
$
Learning Labs List courses below.* |
__________ Credit Hours x $ 40 |
$ |
Foundation Donation |
� $ 1 � $ 5 |
� Other _________ |
$ |
AAO Exhibit Hall Pass |
|
$ 225 |
$ |
AAO Theme Park Event Ticket( All Sales Final) |
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$ 120 |
$ |
By completing this registration and attending ACE 2025 meetings and events, attendees agree to:
• allow their names, likenesses and images( photographic) to be used by IJCAHPO for educational and promotional purposes.
• voluntarily assume all health and safety risks related to exposure to COVID-19 and follow all IJCAHPO and hotel protocols.
Processing Fee $ 75 TOTAL USD- $
List All Course Codes to Register