FACD 2026 Hands-On Course Registration

FACD 2026 Hands-On Course Registration

Join the FACD on Friday, March 6, 2026, for a hands-on course at Hyde House Public Studio in Tampa, Florida. The course will run from 8:30 a.m. to 5:00 p.m. and includes breakfast, lunch, and an optional dinner as part of the registration fee. Dentists may bring one assistant for an additional $500. For more information about the course, visit our website at www.thefacd.com/events
Dentist - Name

First NameLast Name
Dentist - Email
example@example.com
Dentist - Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dentist - Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dentist - Dietary Restrictions

Other
Would you like to bring a dental assistant with you for an additional $500 fee?
Assistant - Name

First NameLast Name
Assistant - Email
example@example.com
Assistant - Dietary Restrictions

Other
Assistant - Name 2

First NameLast Name
Assistant - Email 2
example@example.com
Assistant 2 - Dietary Restrictions

Other
Do you plan to attend the optional group dinner? (Dinner is limited to attendees only, no additional guests).

FACD 2026 Hands-On Course (Dentist - Member)

$1,850.00

FACD 2026 Hands-On Course ( Dentist - Non-member)

$2,200.00

Dental Assistant Add On

One assistant allowed per dentist.

$500.00

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country