2019 HATA Symposium and                               State Leadership Forum Registration
23rd Annual Symposium

Thursday May 30th at the University of Hawaii John A. Burns School of Medicine
651 Ilalo St, Honolulu, HI 96813;  google map:   https://goo.gl/maps/3opsAUUjmv72

Friday May 31st: Please note this is an off day for symposium, as the HATA golf tournament is being held.

June 1st at Kamehameha Schools - Kapālama Campus
1887 Makuakane St, Honolulu, HI 96817 ; google map: https://goo.gl/maps/sDDHhnQoVgk

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State Leadership Forum (SLF)
Thursday May 30th, 2019 (just prior to HATA)
1:00 - 4:30 pm
At Aloha Towers
155 Ala Moana Blvd

***Detailed information for room location and parking for SLF will be provided in May.
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Email *
Symposium Schedule
First Name *
Last Name *
Work place *
Address *
City *
State *
Zip Code *
Work Phone
Cell Phone
NATA Membership #
BOC #
I agree to allow HATA to provide my contact info to companies sponsoring the 2019 HATA Symposium for promotional marketing via email or mail *
Registration Fees (listed fees for HATA Symposium only, with added SLF in parentheses)
HATA Members $110 (+10 for SLF = $120)
Non-HATA Members $155 (+10 for SLF = $165)
Students (Must submit valid School ID) $30 (+10 for SLF =$40)

***Deadline for full refund due to cancellation is MAY 29th.

I will be attending *
NOTE:  Parking at JABSOM (carpooling encouraged)
Meters until 6pm (limited and bring coins)

-or-

ProPark /Lot C:
Located on the Ewa side of campus. Cash (exact amount) only. Rates subject to change, so please bring $5-10.  
Park in numbered stall only.

How do you plan to pay for registration? *
Paying by CREDIT CARD
Please Contact Sharyn Kodama @ 808-330-9918, or by email:  skodama@ahct.k12.hi.us
Square software is used for processing credit card payments.  Please contact Sharyn and an invoice will be created.   Square will then email you a link to pay via the internet.
Paying by Pay Order (PO)
Please email Leanna Goeckeritz the HATA Treasurer: hatatreasurer@gmail.com
Paying by CHECKS
Make payable to : Hawaii Athletic Trainers Association
Return to : HATA Symposium Registration
Sharyn Kodama
220 Kalo Street, Hilo, Hawaii 96720
If you are planning to pay day of
We will be accepting cash, checks, and credit cards
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