Clone of Greater Kansas City Allergy Society Annual Symposium Registration Form

Greater Kansas City Allergy Society Annual Symposium

March 7th, 2026 at the Intercontinental Hotel located on the Country Club Plaza
Registration

The conference is designed for healthcare professionals (staff, clinicians, trainees, students, administrators) from any discipline or practice setting, seeking to create/strengthen an organization’s ability to serve patients with Allergic Disease and/or Immunodeficiency.
Name*

First NameLast Name
Title
Professor, Dr, Ms, Mr, etc.
Email*
example@example.com
Phone Number*

Area CodePhone Number
Practice or Work Location*
City, State
Will you be seeking CEUs?*

Yes - MD or DO: $45Yes - RN or RT: freeNo - I am a trainee, NP, PA, or non-physician: freeNo - I am an MSL or other representative of a pharmaceutical company or industry: :$45
Do you have any dietary restrictions?
Clinical Role or Job Title
(Optional) Employer:
ACAAI ID (if known)
Does the ACAAI have permission to share your information?

YesNo
Please use the form below to submit your payment. Alternatively, will be collecting fees at the meeting. We accept credit card payment, cash, or check. Please make payments to:

The Greater Kansas City Allergy Society

c/o Mary Jacobson, M.D.

14420 W 83rd Pl

Lenexa, KS 66215

Please contact greaterkcallergysociety@gmail.com or visit us with any questions or concerns.

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