Online Registration Form

Preregistration Deadline: 4 February 2019

In case of technical difficulties with this registration page email the webmaster.
For all other questions go to the HPS Web Site.




Contact Data
Member # - HPS
HPS Member Log-in Password:
Name for badge:
*(First)
*(Last)
*Affiliation (for badge)
(limit to 18 characters and spaces):
CHP? Yes    No
NRRPT?Yes    No
*Address:
*City:
*State/Province:
Country:
*Zip/Postal Code:
*Business Phone:
Fax:
*E-mail:


*Would you like your name included on the Attendee List? YES       NO

*REGISTRATION FEES: (Select Appropriate Category) Preregistration
(Fees after February 4 in brackets)
HPS Member (Receptions, Exhibitor Lunches) Requires log-in in the green fields at the top of this form. $520.00 ($625.00)
Non-Member (Receptions, Exhibitor Lunches) - First Time Members ONLY!
includes: HPS Associate Membership 2019
$678.00 ($783.00)
HPS Member CEL Lecturer (Receptions, Exhibitor Lunches) Requires log-in in the green fields at the top of this form. $258.00 ($363.00)
Non-Member CEL Lecturer (Receptions, Exhibitor Lunches) - First Time Members ONLY! includes: HPS Associate Membership 2019 $415.00 ($533.00)
Emeritus Member (Receptions, Exhibitor Lunches) Requires log-in in the green fields at the top of this form. $261.00 ($313.00)
Student (Receptions, Exhibitor Lunches) $74.00 ($74.00)
One Day Registration: Monday Only $294.00 ($294.00)
One Day Registration: Tuesday Only $294.00 ($294.00)
One Day Registration: Wednesday Only $294.00 ($294.00)
One Day Registration: Student Monday Only $42.00 ($42.00)
One Day Registration: Student Tuesday Only $42.00 ($42.00)
One Day Registration: Student Wednesday Only $42.00 ($42.00)
None of the above categories  
Companion (Receptions, Breakfast, Exhibitor Lunches) $116.00 ($116.00)
Emeritus Companion (Receptions, Breakfast, Exhibitor Lunches) $58.00 ($58.00)
If Registering - Companion Name: 




Workshop:   
Non-Attendee or One Day: Wed 2/20 Workshop IRPA Medical Radiation Safety Culture Workshop # of Tickets: $105.00/ticket ($105.00)
Attendee - Entire Meeting: Wed 2/20 Workshop IRPA Medical Radiation Safety Culture Workshop # of Tickets: $0.00/ticket
Non-Attendee or One Day: Thu 2/21 Workshop IRPA Medical Radiation Safety Culture Workshop # of Tickets: $105.00/ticket ($105.00)
Attendee - Entire Meeting: Thu 2/21 Workshop IRPA Medical Radiation Safety Culture Workshop # of Tickets: $0.00/ticket





Important Note: Course registration is on a first-come, first-served basis. Please be aware that regardless of how you register, you are not guaranteed a space in an AAHP course or PEP course. You will be sent a confirmation letter when your registration is processed.

AAHP Courses - Saturday, February 16
AAHP1 - Harmony in Concepts and Units for Internal Dose Calculations for Nuclear Medicine Applications or for Protection of Radiation Workers (8:00 AM–5:00 PM) $415.00
AAHP2 - Practical External Dosimetry Management (1:00 PM–5:00 PM) $210.00
None of the above courses


PEP Courses
Sunday, 2/17, 8:00 - 10:00 AM
1-A Evaluation or MARSSIM and MARSAME Surveys (Stuenkel)
1-B Harmony in Concepts and Units for Internal Dose Calculations for Nuclear Medicine Applications or for Protection of Radiation Workers (Stabin)
1-C Medical Laser Safety Program – What Health Physicists Need to Know (Elder)
$104.00
Course:
Sunday, 2/17, 10:30 AM - 12:30 PM
2-A Alpha Spectroscopy for the HP (Maddigan)
2-B Thorium Molten Salt Reactors (TMSR): Key Radiation Protection Challenges (Sun)
2-C Full Range Risk Training for Health Physicists (Whitham, Kearfott)
$104.00
Course:
Sunday, 2/17, 2:00 - 4:00 PM
3-A Gamma Spectroscopy for the Health Physicist (Maddigan)
3-B Quick and Dirty Radiological Dose Assessment Following a Rad/Nuke Emergency (Karam)
3-C Technical Basis and Operational Experience for Clearance of Personal Property from SLAC Accelerator Facilities (Lui, Ford)
$104.00
Course:




Check all fields carefully and use the button below to see a summary of your entry and total fees.


Cancellation Policy: All cancellations are subject to a 20% service charge. Cancellations must be in writing via fax, email or regular mail to the HPS Business Office. Cancellation notices received by 4 February will be refunded total registration fees minus the 20% service charge. No refunds will be issued on cancellations received after 4 February. Substitutions are welcome any at any time. Membership payments included in your registration are not refundable for any reason.

Federal TAX ID: #04-6050367