Missouri Annual Conference 2026
From Thursday June 25th, 2026 9:00 AM to Saturday June 27th, 2026 5:00 PM.
June 25-27, 2026
Margaritaville Lake Resort
494 Tan Tar A Drive
Osage Beach MO 65065
Schedule of Events
Speakers & Courses
Room Reservations
Questions? Please contact Riley at
riley@modentalmail.org
.
Primary Registrant
Registration Category
*
Member Dentist-$349.00
Recent Grad Member Dentist - 10 yrs or less out of school-$209.00
Retired Dentist Member-$249.00
Dental Team Member-$239.00
Class of 2026 Grad-$99.00
Non-Member Dentist-$699.00
Recent Grad Non-Member Dentist - 10 yrs or less out of DS-$349.00
Saturday CE ONLY-$99.00
First Name
*
Last Name
*
ADA # (Dentist Registrant) or Name of Dentist Attending With (Dental Team Registrants)
*
Profession/Role
*
Dentist
Dental Student
Dental Hygienist
Dental Assistant
Office Manager
Front Desk/Receptionist
Insurance/Billing
Dental Lab Tech
Other
Office Address
*
Office City
*
Office State
*
Office Zip Code
*
Cell Phone
*
Personal Email (Email must be unique to each person attending)
*
Emergency Contact Name
*
Emergency Contact Cell Phone
*
GUESTS & CHILDREN REGISTRATION
You may register your guest and/or children on this same form if they are participating in free events and/or purchasing special meals only.
If your guest is attending CE courses, they must complete a separate registration form.
Guest Meal Only Option -
Includes 2 Receptions/drink tickets, 2 Breakfasts, 1 Lunch, all Breaks.
Adult Guest 1 - $65.00
Guest 1 Name
Adult Guest 2 - $65.00
Guest 2 Name
Adult Guest 3 - $65.00
Guest 3 Name
Child Guest Options
Child 1
Age 9-18-$30.00
Age 8 & under - FREE
Child 1 Name/Age
Child 2
Age 9-18-$30.00
Age 8 & under - FREE
Child 2 Name/Age
Child 3
Age 9-18-$30.00
Age 8 & under - FREE
Child 3 Name/Age
Child 4
Age 9-18-$30.00
Age 8 & under - FREE
Child 4 Name/Age
Lodging Info
Where are you staying?
Margaritaville Lake Resort
Other
SPECIAL EVENTS & MEALS
These special events are free, but please indicate if you/guest/children will be attending to assist the MDA in planning.
SALT & LIME WELCOME RECEPTION - Thursday 5:30pm-7:30pm, Families Welcome
# Attending (including registrant)
0
1
2
3
4
5
6
NEW DENTIST HANGOUT - Thursday Evening 6:30pm-8:30pm,
Exclusive to dentists
who graduated 10 years ago or fewer (adult guest/spouse welcome)
Dentist Attending
Yes
No
Guest Attending
Yes
No
YOGA SESSION - Friday Morning 7:15am-8am, Adult Guest Welcome
# Attending (including registrant)
0
1
2
3
4
5
6
UMKC ALUMNI RECEPTION - Friday Evening 6:pm-7:30pm,
Exclusive to UMKC alumni
& a guest
Dentist Attending
Yes
No
Guest Attending
Yes
No
SATURDAY AWARDS DINNER & BACK TO THE 80’S PARTY -
We’re throwing a summer
Awards Dinner & Back to the '80s Party!
Any MDA member (and their guests) attending the Connect4Success and/or House of Delegates is invited to join the party. Enjoy a delicious dinner, celebrate some awesome member achievements, enjoy live music, and dance the night away ('80s style)!
Reception 5:30p, Awards Dinner 6:30p, Party begins after dinner
Members may attend the awards reception/dinner for free
Party registration includes two drink tickets per registrant
Any guest attending may be included here
Reception & Dinner (Members) $0
1
2
3
4
Reception & Dinner (All Others) $55
1-$55.00
2-$110.00
3-$165.00
4-$220.00
Child Reception & Dinner (6 & below) FREE
1
2
3
4
5
6
Child Reception & Dinner (7 & up) $20
1-$20.00
2-$40.00
3-$60.00
4-$80.00
5-$100.00
6-$120.00
Reception, Dinner & Party (Members) $35
1-$35.00
2-$70.00
3-$105.00
4-$140.00
Reception, Dinner & Party (All Others) $80
1-$80.00
2-$160.00
3-$240.00
4-$320.00
Party Only (Any Attendee) $35
1-$35.00
2-$70.00
3-$105.00
4-$140.00
5-$175.00
6-$210.00
Saturday Evening Childcare (Per Child) $50 - 6-11p
1-$50.00
2-$100.00
3-$150.00
4-$200.00
5-$250.00
6-$300.00
CE SPEAKERS & COURSES
Friday Morning – 9am to 12pm
*
Dr. Daniel Pompa, Part I: Actions and Algorithms for Medical Emergencies: Multiple Actions to Prevent A Medical Crisis in Your Office
Dr. Mark Hyman, Take This Job and Love It, DENTAL TEAM TRACK
Dr. Roger Levin, Building the Ultimate Practice – Proven Systems to Increase Practice Production Every Year, NEW DENTIST COMMITTEE RECOMMENDATION
Michelle Strange, MSDH, RDH, Creating Long-Lasting Patient Outcomes: No Scaler Required, RDH TRACK
NOT attending course
Friday Afternoon – 1:30pm to 4:30pm
*
Dr. Daniel Pompa, Part II: Actions and Algorithms for Medical Emergencies: Updated Medications and the Routes of Administration Used When Treating a Medical Emergency
Dr. Mark Hyman, A 360 Slam Dunk for Successful Teams, DENTAL TEAM TRACK
Dr. Roger Levin, Mastering Case Presentation – Getting to “Yes”!, NEW DENTIST COMMITTEE RECOMMENDATION
Michelle Strange, MSDH, RDH, Prevention: The Hollow Leg of Dentistry, RDH TRACK
NOT attending course
Saturday Morning – 9am to 12pm
*
Dr. Daniel Pompa, To Pull or Not to Pull
Dr. Mark Hyman, A Day in the Life of High-Performing Dental Teams, DENTAL TEAM TRACK
Dr. Roger Levin, The 5-Star Customer Service Practice, NEW DENTIST COMMITTEE RECOMMENDATION
NOT attending course
Additional Registrant
Reset Form
Additional Information
Cardholder first name
*
Cardholder last name
*
Billing address
*
Billing city
*
Billing state
*
*Select State*
Alabama
Alaska
Arizona
Arkansas
n
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Billing zip
*
Email (to receive transaction receipt)
*
Refunds & Cancellation Policy:
Request for a refund/cancellation must be emailed to Riley Bernskoetter at
riley@modentalmail.org
. A $50 cancellation fee per registration will be charged through June 17, 2026; no refunds after this date. All onsite registrations are an additional $25 fee.
Payment Amount:
$0.00
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