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 Email 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… # of Handouts @ $35 per set Total Paid Entry updated date Entry key Entry status
January 25, 2025 at 12:45 pm Barry Sosnin Same as Contact Name MD Dr. Barry Sosnin 315 Brookfield View Drive Louisville Kentucky 40245 brian@drsosnin.com In Person No 0 0 $300.00 No January 25, 2025 at 12:45 pm oo0pp 0
January 24, 2025 at 12:41 pm Pat Fogarty Same as Contact Name CADC Pat Fogarty 518 Foxwood Ct. Shelbyville Kentucky 40065 5027446664 pfogarty33@gmail.com In Person No 0 0 $300.00 No January 24, 2025 at 12:41 pm sewwv 0
January 24, 2025 at 1:59 am Karlee Daniels Same as Contact Name APRN Karlee Daniels, APRN 759 Hurstborne Ln Edgewood Kentucky 41017 8599074392 karleeschmidt@yahoo.com Online No 0 0 $300.00 No January 24, 2025 at 1:59 am qqumf 0
January 24, 2025 at 1:49 am Allison Yoder Same as Contact Name Allison Yoder, MD 1033 Garden Creek Cir Louisville Kentucky 40223 allison.yoder@protonmail.com Online No 0 0 $300.00 No January 24, 2025 at 1:49 am 9z9ea 0
January 23, 2025 at 8:33 pm Franklin Sibert Same as Contact Name LCSW, LCADC Franklin Sibert Lexington Counseling and Psychiatry 1043 Center Drive Richmond Kentucky 40475 606-813-3880 franklin_sibert@yahoo.com In Person No 0 0 $300.00 No January 23, 2025 at 8:33 pm ngpks 0
Load More

Export to CSV