Registration Spreadsheet
| Entry creation date | Contact Name | Last | Attendee Name | Attendee Name | Profession/Credentials | Name for Nametag | Institution/Organization | Mailing Address | City | State | Zip | Phone | Fax | Please list any special needs you may have… | I will attend | I plan to attend the banquet Friday night (cost… | # of guests @ $35 per ticket – Do not include… | Total | Paid | Entry updated date | Entry key | Entry status | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| January 31, 2026 at 4:29 pm |
Robert |
Adkins |
Same as Contact Name |
Robert Adkins |
111 Naphne Ct |
Bowling Green |
Kentucky |
42103 |
brian9dkinsdmd@yahoo.com |
In Person |
No |
0 |
$300.00 |
No |
January 31, 2026 at 4:29 pm | pgb9f | 0 | ||||||
| January 31, 2026 at 4:27 pm |
Catherine |
Fowler |
Same as Contact Name |
Catherine Fowler, DMD |
365 Romany Rd |
Lexington |
Kentucky |
40502 |
catfowler365@gmail.com |
In Person |
No |
0 |
$300.00 |
No |
January 31, 2026 at 4:27 pm | rj3a5 | 0 | ||||||
| January 30, 2026 at 4:09 pm |
Tara |
Estes |
Same as Contact Name |
CADC, CCS |
Tara Estes |
LFUCG/Mayor’s Office |
302 Wichita Dr |
Nicholasville |
Kentucky |
40356 |
8595530730 |
tjear@aol.com |
Online |
No |
0 |
$300.00 |
No |
January 30, 2026 at 4:09 pm | 1c2e6 | 0 | |||
| January 30, 2026 at 3:00 pm |
Jeffrey |
Rose |
Same as Contact Name |
LCSW |
Jeff Rose |
909 Meadowwood Ln |
Bowling Green |
Kentucky |
42104 |
2707797395 |
jrose.work@gmail.com |
In Person, Online |
No |
0 |
$300.00 |
No |
January 30, 2026 at 3:00 pm | tv91o | 0 | ||||
| January 30, 2026 at 1:04 pm |
Franklin |
Sibert |
Same as Contact Name |
LCSW/LCADC |
Franklin Sibert |
Lexington Counseling and Psychiatry |
1043 Center Drive |
Richmond |
Kentucky |
40475 |
6068133880 |
franklin_sibert@yahoo.com |
Online |
No |
0 |
$300.00 |
No |
January 30, 2026 at 1:04 pm | 7knty | 0 |