2024 Summit Registration – The Drug and Alcohol Training Institute, Inc

2024 Drug and Alcohol Testing Institute Summit for DER's and Program Managers Registration Form

At the Historic and Iconic HotelKC in Kansas City, Missouri
Important Room Reservation Inform

Please use the following link to reserve rooms for the DER Summit and receive our discounted rate. If you call directly, you may not be able to reserve a room as the hotel may be sold out. We have rooms blocked, but you MUST use our link below.

Hotel KC Reservation Link

https://www.hyatt.com/en-US/group-booking/MCIJD/G-MTSI
Important CRL Lab Tour Information

Please select the Lab Tour option when comleting the registration form. The lab tour is FREE.

Buses will leave from HotelKC and return everyone back to the hotel. Tours will be "Staggered" to accommodate the lab.
Name*

First NameLast Name
Your Title*
Please Enter Your Employer's Name*
Name for Badge Printing*
Industry Sector*
Phone Number*
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Email*
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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Special Requirement
Any special requirements such as dietary needs, ADA or mobility needs.
Will you have an Additional Attendee(s) to register on this form?*
If you selected Yes - Number of Additional Attendees?
Name for Badge Printing
Name of Additional Attendee.
Title
Job Title of Additional Attendee.
Employer's Name
Employer's Name of Additional Attendee.
Industry Sector
Industry Sector of Additional Attendee.
Email
example@example.com of Additional Attendee.
Phone Number
Please enter a valid phone number of Additional Attendee.
Name for Badge Printing
Name of Additional Attendee 2.
Title
Job Title of Additional Attendee 2.
Employer's Name
Employer's Name of Additional Attendee 2.
Industry Sector
Industry Sector of Additional Attendee 2.
Email
example@example.com of Additional Attendee 2.
Phone Number
Please enter a valid phone number of Additional Attendee 2.
Name for Badge Printing
Name of Additional Attendee 3.
Title
Job Title of Additional Attendee 3.
Employer's Name
Employer's Name of Additional Attendee 3.
Industry Sector
Industry Sector of Additional Attendee 3.
Email
example@example.com of Additional Attendee 3.
Phone Number
Please enter a valid phone number of Additional Attendee 3.
Name for Badge Printing
Name of Additional Attendee 4.
Title
Job Title of Additional Attendee 4.
Employer's Name
Employer's Name of Additional Attendee 4.
Industry Sector
Industry Sector of Additional Attendee 4.
Email
example@example.com of Additional Attendee 4.
Phone Number
Please enter a valid phone number of Additional Attendee 4.

My Products*

Summit RegistrationRegistration Fee for the Drug and Alcohol Training Institute Summit. If additional attendee(s) please increase quantity.

$175.00 Quantity
Item subtotal:$0.00

Lab TourTour of Clinical Reference Labs (CRL). If additional attendee(s) please increase quantity.

$ Free Quantity

Enter coupon

Total

$0.00

Credit Card

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If you are having issues submitting this form, please click this link below to Register:

2024 Drug and Alcohol Testing Institute Summit for DER's and Program Managers Registration Form