2012 MVC Speakers - Midwest Veterinary Conference

Transcription

2012 MVC Speakers - Midwest Veterinary Conference
2012 MVC Speakers
ABVP
Mark Armfelt, DVM, DABVP
Dairy Technical Consultant
Gambier, Ohio
Animal Behavior
Sheila D’Arpino, DVM, DACVB
Animal Rescue League of Boston
Boston, Maine
Lore Haug, DVM, M.S., DACVB
Texas Veterinary Behavior Services
Sugar Land, Texas
Suzanne Hetts, Ph.D.
Animal Behavior Associates, Inc.
Littleton, Colo.
Affiliation: The Iams Company/P&G
Ilana Reisner, DVM, Ph.D., DACVB
Reisner Veterinary Behavior
& Consulting Services, LLC
Media, Pa.
Aquaculture
William Lynch, B.S., M.S.
Millcreek Perch Farm, LLC
Marysville, Ohio
Critical Care
Bernie Hansen, DVM, M.S., DACVECC, DACVIM
North Carolina State University College
of Veterinary Medicine
Raleigh, N.C.
Affiliation: IDEXX Telemedicine
Emerging Issues
Karen Felsted, DVM, CPA, M.S., CVPM
Felsted Veterinary Consultants Inc.
Dallas, Texas
Equine
Matt Brokken, DVM, DACVS
Cleveland Equine Clinic, LLC
Ravenna, Ohio
Affiliation: Hagyard Equine Medical Institute
Marco Coutinho da Silva, DVM, Ph.D., DACT
The Ohio State University
Columbus, Ohio
Anne Gemensky Metzler, DVM, M.S., DACVO
The Ohio State University Veterinary
Medical Center
Columbus, Ohio
Ann Rashmir, DVM, M.S., DACVS
Michigan State University
East Lansing, Mich.
<< 66
Stephen Reed, DVM, DACVIM
Rood and Riddle Equine Hospital
Lexington, Ky.
Nick Koval
Elan Technologies
Columbus, Ohio
Food Animal
Pet Animal
David Anderson, DVM, M.S., DACVS
Kansas State University
Manhattan, Kan.
Christopher Adin, DVM, DACVS
The Ohio State University
Columbus, Ohio
Tony Forshey, DVM
Ohio Department of Agriculture
Reynoldsburg, Ohio
A. Rick Alleman, DVM, Ph.D., DABVP, DACVP
University of Florida
Gainesville, Fla.
Jeff LeJeune, DVM, Ph.D., DACVM, DACVPM
The Ohio State University OARDC
Wooster, Ohio
Clarke Atkins, DVM, DACVIM
North Carolina State University
Raleigh, N.C.
Affiliation: Heartworm University
Suzanne Millman, B.Sc., Ph.D.
Iowa State University
Ames, Iowa
Bill Minton, DVM
Four Star Veterinary Service
Chickasaw, Ohio
Ray Nebel, Ph.D.
Select Sires Inc.
Plain City, Ohio
Pamela Ruegg, DVM, MPVM
University of Wisconsin Department
of Dairy Science
Madison, Wis.
Bob Storey
University of Georgia College
of Veterinary Medicine
Athens, Ga.
Thomas Wittum, M.S, Ph.D.
The Ohio State University College
of Veterinary Medicine
Columbus, Ohio
Holistic & Integrative Medicine
Chris Bessent, DVM
Herbsmith, Inc.
Hartland, Wis.
Affiliation: HerbsmithRX
Deborah Mitchell, DVM, M.S.
Knollwood Hospital for Pets
Schaumburg, Ill.
Judith Shoemaker, DVM
Always Helpful Veterinary Services
Nottingham, Pa.
Personal Improvement
Ted Janusz
Janus Presentations, LLC
Hilliard, Ohio
Stephen DiBartola, DVM
The Ohio State University College of
Veterinary Medicine
Columbus, Ohio
Robert Dudley, DVM, M.S., DACVS
MedVet Medical and Cancer Center for Pets
Worthington, Ohio
Fredric Frye, DVM, B.Sc., M.Sc., CBiol, FSB,
FRSM
La Primavera Farm
Cloverdale, Calif.
Affiliation: State of California, Department of
Consumer Affairs, Board of Veterinary Medical
Examiners, V.I.P. Pet Care Services, Inc.
Thomas Graves, DVM, Ph.D., DACVIM
Chicago Center for Veterinary Medicine
Chicago, Ill.
William Greentree, DVM, DACVO
VCA South Shore Animal Hospital
South Weymouth, Maine
Kurt Grimm, DVM, M.S., Ph.D., DACVA,
DACVCP
Veterinary Specialist Services, PC
Conifer, Colo.
Fraser Hale, DVM, FAVD, DAVDC
Hale Veterinary Clinic
Guelph, Ontario, Canada
Affiliation: HealthyMouth LLC
Michael Lappin, DVM, Ph.D.
Colorado State University Small Animal
Clinical Veterinary Medicine
Fort Collins, Colo.
Cheryl Lopate, DVM, M.S., DACT
Reproductive Revolutions
Aurora, Ore.
John Mattoon, DVM, DACVR
Washington State University College of
Veterinary Medicine, Department
of Veterinary Clinical Sciences
Pullman, Wash.
Fritz Wood, CPA, CFP
Fritz Wood HF Wood Consulting
Lake Quivira, Kan.
Susan Skorupski, DVM, M.S.
Veterinary Service/ODA
Pickerington, Ohio
Public Health
Natasha Olby, VetMB, Ph.D., MRCVS, DACVIM
North Carolina State University College of
Veterinary Medicine
Raleigh, N.C.
Danelle Bickett-Weddle, DVM, MPH, Ph.D.,
DACVPM
Center for Food Security and Public Health
Ames, Iowa
Kathleen Smith, DVM, MPH
Ohio Department of Health
Reynoldsburg, Ohio
Chris Reeder, DVM, DACVD
Animal Dermatology Clinic
Louisville Ky.
Affiliation: Merck Animal Health
Andrew Bowman, DVM, M.S.
The Ohio State University
Columbus, Ohio
Rebecca Stepien, DVM, M.S., DACVIM
University of Wisconsin–Madison
Veterinary Medical Teaching Hospital
Madison, Wisc.
Affiliation: Ceva Sante Animale, Nestle Purina
Practice Management
Lowell Ackerman, DVM, DACVD, MBA, MPA
Pfizer Animal Health
Westborough, Mass.
Affiliation: Pfizer Animal Health
Michael Borowitz, CPA
Clark, Schaefer, Hackett & Co. CPAs
Columbus, Ohio
Amanda Donnelly, DVM, MBA
ALD Veterinary Consulting
Rockledge, Fla.
John Fiocca, J.D.
Smith, Rolfes & Skavdahl
Columbus, Ohio
Renee Jessen, RVT
Ohio Veterinary Medical Licensing Board
Columbus, Ohio
Tim Kolb, DVM
Banfield the Pet Hospital
Columbus, Ohio
Charlotte Lacroix, DVM, J.D.
Veterinary Business Advisors, Inc.
Whitehouse Station, N.J.
Denise Tumblin, CPA
Wutchiett Tumblin and Associates
Columbus, Ohio
Affiliation: Research Grant from Advanstar
Publishing
Peter Weinstein, DVM, MBA
PAW Consulting
Irvine, Calif.
William Winsley, M.S., R.Ph.
Ohio State Board of Pharmacy
Columbus, Ohio
Jade Braman, MPH-VPH
Association of Public Health Laboratories
Silver Spring, Md.
Edward Breitschwerdt, DVM, DACVIM
North Carolina University
Raleigh, N.C.
Affiliation: Galaxy Diagnostics
Tony Forshey, DVM
Ohio Department of Agriculture
Reynoldsburg, Ohio
Richard Gary, Ph.D.
Ohio Department of Health
Reynoldsburg, Ohio
Meaghan Glowacki, MPH-VPH
Columbus, Ohio
Alex Hamberg, VMD, Ph.D.
Ohio Department of Agriculture
Reynoldsburg, Ohio
W. Michael Hockman, DVM
Ohio Department of Agriculture
Reynoldsburg, Ohio
Armando Hoet, DVM, Ph.D., DACVPM
The Ohio State University College
of Veterinary Medicine
Columbus, Ohio
David LeBourveau, DVM
Food Safety and Inspection Service
Madeira, Ohio
Glen Needham, Ph.D.
The Ohio State University Aronoff Lab
Columbus, Ohio
Jeanette O’Quin, DVM
The Ohio State University College
of Veterinary Medicine
Columbus, Ohio
Kelly Scheuer, MPH-VPH
The Ohio State University Ohio Agricultural
Research and Development Center
Wooster, Ohio
Shelter Animal
Jack Advent, CAE
Ohio Veterinary Medical Association
Columbus, Ohio
Philip Bushby, DVM, M.S., DACVS
Mississippi State University College
of Veterinary Medicine
Mississippi State, Miss.
Christa Chadwick, CAWA
ASPCA
Sutton West, Ontario, Canada
Amanda Goeman, DVM
Animal Rescue League of Boston
Dedham, Maine
Kyle Held
ASPCA
Jackson, Mo.
Meghan Herron, DVM, DACVB
The Ohio State University Veterinary
Medical Center
Columbus, Ohio
Sgt. David Hunt
Franklin County Sheriff’s Office
Columbus, Ohio
Anne Kaup-Fett, R.S., M.S.
Clark County Combined Health District
Springfield, Ohio
Melinda Merck, DVM
Veterinary Forensics Consulting, LLC
Gainesville, Fla.
Laurie Millward, DVM, M.S.
Capital Area Humane Society,
The Ohio State University
Hilliard, Ohio
Gary Patronek, VMD, Ph.D., V.P.
Animal Rescue League of Boston
Boston, Mass.
Pamela Reid, Ph.D., CAAB
ASPCA
Urbana, Ill.
Sara White, DVM
Spay ASAP Inc.
Hartland, Vt.
Continued >>>
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Staff Development
Rhonda Windham, DVM, MVB
ASPCA
New York, N.Y.
Amanda Donnelly, DVM, MBA
ALD Veterinary Consulting
Rockledge, Fla.
Small Ruminants
Karen Felsted, DVM, CPA, M.S., CVPM
Felsted Veterinary Consultants Inc.
Dallas, Texas
Christopher Cebra, DVM
Oregon State University College of
Veterinary Medicine
Corvallis, Ore.
Suzanne Hetts, Ph.D.
Animal Behavior Associates, Inc.
Littleton, Colo.
Affiliation: The Iams Company/P&G
Jing Cui, DVM, M.S.
Ohio Department of Agriculture
Reynoldsburg, Ohio
Candi Krisch
The Ohio State University Multicultural Center
Columbus, Ohio
Eric Gordon, DVM, DACVPM
The Ohio State University Large
Animal Services
Marysville, Ohio
Terence Olive, DVM
Columbus State Community College
Columbus, Ohio
Carlos Pinto, MedVet, Ph.D., DACT
The Ohio State University Veterinary
Medical Center
Columbus, Ohio
Mark Opperman, CVPM
VMC, Inc.
Evergreen, Colo.
William Shulaw, DVM, DACVPM
The Ohio State University Veterinary
Medical Center
Columbus, Ohio
Sheila Roe Grosdidier, RVT, PHR
VMC, Inc.
Evergreen, Colo.
Gilberto Serrano
Columbus State Community College
Columbus, Ohio
Bob Storey
University of Georgia College
of Veterinary Medicine
Athens, Ga.
Committee Chairperson
Ryan Zimmerman, DVM
Animal Behavior
Laurie Schulze, DVM – Chair
Amanda Eick-Miller, RVT
Elizabeth Feltes, DVM
Meghan Herron, DVM, DACVB
Christine Kabalan, DVM
Beth Logan
Gina Petruziello
Traci Shreyer, M.A.
<< 68
Equine
Bimbo Welker, DVM – Chair
Robert Cope, DVM
Jon Ellis, DVM
Ronald Fuller, DVM
William Gesel, DVM
Paul Masters
Rustin Moore, DVM
Robert Schwartz, DVM
Daniel Stradley, DVM
Scott Strosnider, DVM
Walter Threlfall, DVM
Lauren Wade, DVM
Dale Wright, DVM
Steve Thompson, DVM, DABVP
Purdue University School of Veterinary Medicine
West Lafayette, Ind.
Affiliation: American Animal Hospital
Association
Technician
A. Rick Alleman, DVM, Ph.D., DABVP, DACVP
University of Florida
Gainesville, Fla.
Jennifer Au, DVM, DACVS, CCRT
The Ohio State University College of
Veterinary Medicine
Columbus, Ohio
William Greentree, DVM, DACVO
VCA South Shore Animal Hospital
South Weymouth, Mass.
Meghan Herron, DVM, DACVB
The Ohio State University Veterinary
Medical Center
Columbus, Ohio
Andrew Niehaus, DVM, M.S., DACVS
The Ohio State University Veterinary
Medical Center
Columbus, Ohio
Barbara Oglesbee, DVM, DABVP
Capital Veterinary Referral and
Emergency Center
Columbus, Ohio
Food Animal
Eric Gordon, DVM – Chair
Andrew Bowman, DVM
Steve DeBruin, DVM
Brad Garrison, DVM
Ellen Hartz, DVM
Jeffrey Lakritz, DVM
Y. M. Saif, DVM
William P. Shulaw, DVM
David P. White, DVM
Aaron Wise, DVM
L.C. Zilles, DVM
Holistic & Integrative
Medicine
Neal Sivula, DVM
– Chairperson
James Carlson, DVM
Brett Ellis, DVM
Jon Ellis, DVM
Donn Griffith, DVM
Kriston Sherman, DVM
Karen Spracklen, DVM
Dorothea Zivkovic, DVM
Chris Reeder, DVM, DACVD
Animal Dermatology Clinic
Louisville Ky.
Affiliation: Merck Animal Health
Mark Bohling, DVM
The University of Tennessee College
of Veterinary Medicine
Knoxville, Tenn.
Suzanne Hetts, Ph.D.
Animal Behavior Associates, Inc.
Littleton, Colo.
Affiliation: The Iams Company/P&G
Angel Rivera, CVT, VTS (ECC)
Animal Emergency Center
Glendale, Wis.
Philip Bushby, DVM, M.S., DACVS
Mississippi State University College
of Veterinary Medicine
Mississippi State, Miss.
Lawrence N. Hill, DVM, DABVP
The Ohio State University Department
of Veterinary Clinical Sciences
Columbus, Ohio
Melanie deHaan, DVM
Shelter Outreach Services of Ohio
Columbus, Ohio
John Mattoon, DVM, DACVR
Washington State University College of
Veterinary Medicine, Department of
Veterinary Clinical Sciences
Pullman, Wash.
Christopher Snyder, DVM, DAVDC
University of Wisconsin–Madison School
of Veterinary Medicine
Madison, Wis.
Affiliation: Pfizer
Rebecca Stepien, DVM, M.S., DACVIM
University of Wisconsin–Madison School
of Veterinary Medicine
Madison, Wis.
Affiliation: Ceva Sante Animale, Nestle Purina
Jennifer Au, DVM, DACVS, CCRT
The Ohio State University College of
Veterinary Medicine
Columbus, Ohio
Matthew Barnhart, DVM, M.S., DACVS
MedVet Medical & Cancer Centers for Pets
Worthington, Ohio
Affiliation: Securos
Linda Lehmkuhl, DVM – Chair
Robert Knapp, DVM – Chair
Adam Ballard, DVM
Cheryl Bater, DVM
Nikki Eaton, DVM
Ellen Imhof-Matlock, DVM
Paul Knapp, DVM
Hal Taylor, III, DVM
Walter Threlfall, DVM
John Weale, DVM
Terah Webb, DVM
Practice Management
Rochelle Long, DVM – Chair
Nicole Eaton, DVM
Robert Knapp, DVM
Ron Reagh, DVM
Hal Taylor, III, DVM
Lolita Taylor
Richard Gary, Ph.D.
Ohio Department of Health
Reynoldsburg, Ohio
Amanda Goeman, DVM
Animal Rescue League of Boston
Dedham, Maine
Hands-On Labs
Pet Animal
Nancy Ferguson, DVM
SPOT Spay & Neuter
Cloverdale, Ind.
Fraser Hale, DVM, FAVD, DAVDC
Hale Veterinary Clinic
Guelph, Ontario, Canada
Affiliation: HealthyMouth LLC
Bernie Hansen, DVM, M.S., DACVECC, DACVIM
North Carolina State University College
of Veterinary Medicine
Raleigh, N.C.
Affiliation: IDEXX Telemedicine
Public Health
Jeff Hayes, DVM – Chair
Jane Bradford Battig, DVM
Julie Bilchak, DVM
Steven Close, DVM
Michael Hockman, DVM
Armando Hoet, DVM
Holly Monke-Eades, DVM
Jeanette O’Quin, DVM
William Shulaw, DVM
Kathy Smith, DVM
James Vanzant, Sr., DVM
Jenny Ziegman, DVM
Dorothea Zivkovic, DVM
Glen Needham, Ph.D.
The Ohio State University Aronoff Lab
Columbus, Ohio
Angel Rivera, CVT, VTS (ECC)
Animal Emergency Center
Glendale, Wis.
Judith Shoemaker, DVM
Always Helpful Veterinary Services
Nottingham, Pa.
Denise Tumblin, CPA
Wutchiett Tumblin and Associates
Columbus, Ohio
Affiliation: Research Grant from Advanstar
Publishing
Sara White, DVM
Spay ASAP Inc.
Hartland, Vt.
Shelter Animal
Jeanette O’Quin, DVM – Chair
Jodi Buckman, CAWA – Chair
Melanie deHaan, DVM
Rachel Finney
Robert Fisher, DVM
Brian Forsgren, DVM
Sharon Harvey
Melinda Decker Holland, DVM
John Hubbell, DVM
Debbie Johnson, DVM
Melisa Kauffman-Sanwald, DVM
Allison Lash, DVM
Laurie Millward, DVM
Mark Kumpf, CAWA
Joel Melin, DVM
Meg Volpe, DVM
Brian Weltge
Stephanie Wimbish
Technician
Angela Beal, DVM – Chair
Vicki Riley, RVT – Chair
Cynthia Curto, RVT
Dawn Eblin, RVT
Linda Heidenreich, RVT
Kristina Houlles-Burd, RVT
Bethany Kineer, RVT
Kimberly Myers
Michael Sanwald, DVM
Christi Smith
Leslie Thompson
69 >>
registration faq
GENERAL INFORMATION
Where does the Conference take place?
The MVC takes place in Columbus, Ohio, in both the
Greater Columbus Convention Center (350 N. High St.,
Columbus OH 43215) and the Hyatt Regency (400 N. High
St., Columbus OH 43215). Registration and Customer
Service are located in Hall C of the Convention Center.
Who is eligible to attend the MVC?
The OVMA welcomes individuals working in all areas
of the veterinary profession, including veterinarians;
technicians; hospital staff; shelter personnel; postgraduate residents and interns; and pre-veterinary,
veterinary, and technician students. Non-veterinary
professionals age 16 and up may attend as guests of a
registered attendee.
I am a veterinarian in Ohio, but I am not an OVMA
member. Can I attend?
Non-member veterinarians in Ohio are most welcome to
attend, but please note that your registration fee will be
higher than that of OVMA members. If you would like to
receive the member price, we invite you to join the OVMA
by filling out the “Member Dues” section on the registration
form. Not only will you enjoy the cost savings, but also
the benefits of OVMA membership throughout the year!
Visit www.ohiovma.org/membership.html for details.
I am a veterinarian practicing in another state.
What fee will I pay to attend?
As an out-of-state DVM, you are eligible to take advantage
of the same reduced registration fees that an OVMA
member would pay. Please see the registration form on
the following page for these fees.
Who can register for a spouse/guest badge?
A spouse, companion, relative, friend or child age 16 or
older may register as a guest of a registered attendee.
DVMs, technicians, hospital staff members, and other
animal care professionals are not eligible to attend as
guests. Please note that CE credit confirmation cannot
be issued for this type of registration.
How many hours of continuing education can I
obtain by attending the Conference?
You can earn a total of 24 hours of CE if you elect to
attend the full Conference and attend all day each of
the four days. A total of 6 hours of CE can be obtained if
you elect to attend only one day of the Conference and
attend a session during each time slot offered.
I am traveling from out of town. How can I make
housing arrangements?
The OVMA has reserved room blocks at several hotels
within walking distance of the Convention Center. Rates,
contact numbers, how to book, and other information
about each hotel can be found on page 74 or by
visiting the Travel & Hotels section of the Web site at
www.mvcinfo.org/attendees, where you can also find
transportation and parking information.
REGISTRATION
How can I register to attend?
Register online at www.mvcinfo.org or fill out a form for
each attendee and submit it to the OVMA by mail (3168
Riverside Drive, Columbus, OH 43221) or fax (614-486-1325).
What are the registration deadlines?
Jan. 6, 2012 – Deadline for early bird registration to
receive discounted prices.
• Feb. 1, 2012 – Deadline to register and receive a
confirmation packet in the mail. If you register after
this date, please pick up your packet on site.
• Feb. 10, 2012 – Pre-registration deadline. After this
date, please register on site.
•
<< 70
How can I pay for my registration fees?
request on both the online and paper registration forms.
The OVMA accepts checks, Visa, Mastercard and Discover
as forms of payment. Unfortunately, we are unable to
accept American Express. Please note that fees need to
be paid in full at the time of registration.
What if I have to cancel my registration?
What do registration fees include?
Full Conference:
• All sessions except labs and workshops where
additional fees are required and/or space is limited
• Online access to Conference Proceedings
• Admittance to the Exhibit Hall
• MVC Sunday Lunch
One Day:
• All sessions on the day attending, except labs and
workshops where additional fees are required and/
or space is limited
• Online access to Conference Proceedings
• Admittance to the Exhibit Hall on day attending
• MVC Sunday Lunch (if attending on Sunday)
What is included in a Guest Registration?
All sessions on the day(s) attending, except where
additional fees are required and/or space is limited
• Admittance to the Exhibit Hall
• MVC Sunday Lunch (if attending on Sunday)
•
What should I know about registering for wet labs
and workshops?
The registration form includes a section where you
may select which of these programs you would like to
attend. Wet labs and workshops require an additional
fee, but because these prices are fixed, there is no early
registration discount. Please note that participation in
these programs may be limited and is awarded on a
first-come, first-serve basis; as such, we advise you to
sign up as early as possible.
Am I able to register multiple people from our
clinic at one time?
Yes. If you are registering by fax or by mail, please make
a copy of the registration form or download a PDF online
at www.mvcinfo.org and complete a separate form for
each individual. If you are registering online, please
follow the instructions provided on the Web site to add
additional attendees.
How does a Hospital Pass work?
A Hospital Pass may be used by the staff of a veterinary
facility (excluding veterinarians and technicians). In
your confirmation packet, you will receive four tickets,
each of which is good for one attendee on any one
day. You may use these passes on any combination of
days you like. When the attendee or attendees arrive
at the Conference, each should bring one ticket to
the Customer Service booth in the Registration Area
to receive a badge. The pass will be listed under the
company name.
Can I and/or my guest purchase a pass just for
the Exhibit Hall?
Yes. You may purchase a one-day Exhibit Hall-only badge
for a nominal fee of $20 per person, or a full three-day
pass for $40 per person. Children under 18 are admitted
at no charge, but should still obtain a badge, as only
attendees with badges will be admitted to the Exhibit
Hall. Anyone under 18 must be accompanied by a
parent or legal guardian at all times. You may purchase
these badges at the Customer Service booth during
Registration hours.
I will need special assistance to be able to attend
the Conference. How do I make arrangements?
Attendees who need special assistance or services are
asked to notify the OVMA office no later than Feb. 10,
2012, by providing a written description of how we may
accommodate you. There is space available for this
If personal or professional circumstances prevent you
from attending the Conference, the OVMA will refund
your registration fees less a $50 administrative fee,
provided that a written refund request is received by 6
p.m. EST on March 14, 2012. No refunds will be granted
after this date. No refunds can be granted for wet labs,
workshops and entertainment functions. Written refund
requests may be delivered to the OVMA via mail, fax or
e-mail. Please note that refunds will not be processed
until March 15, 2012.
Can a registration be transferred?
If you are no longer able to attend, your registration
may be transferred to another person on your staff.
Please bring the original badge and registration
materials to the on-site registration desk to receive a
new name badge.
CONFIRMATION
When will I get my name badge and tickets?
Attendees who register by Feb. 1, 2012, will receive
mailed confirmation including name badges, any
purchased tickets, and instructions for accessing online
Conference Proceedings. These items will be mailed to
pre-registered attendees beginning the week of Feb. 13,
2012. Please be sure to bring these materials with you to
the Conference, as there is a $10 replacement fee for lost
name badges.
Will I be able to access and print notes for my
sessions prior to the Conference?
Yes. Instructions for accessing the Conference
Proceedings online will be included in your confirmation
e-mail and mailed packet. Please print your notes before
arriving, as there will be no notes printing stations
available on site. If you would like a CD-ROM of the
notes, you may pick one up at the Customer Service
booth when you arrive on site. CD-ROMs will not be
mailed prior to the Conference.
I registered multiple people from our office. How
will we receive confirmation?
If you pre-register by the cut-off date of Feb. 1, 2012,
each person will receive an individual confirmation to
the address you provide.
I submitted my registration form by Feb. 1, 2012,
but did not get a confirmation or registration
materials in the mail. What should I do?
Please notify the OVMA office at (800) 662-6862 or info@
mvcinfo.org if you do not receive these materials by Feb.
20, 2012. If the office is closed due to the Conference,
visit the Customer Service booth when you arrive on site.
What if I forget to bring my badge and event
tickets to the Conference?
The OVMA strongly encourages you to bring your entire
confirmation packet with you to the Conference. Should
you forget it, you may request new materials when you
arrive on site by visiting Customer Service. However,
please be aware that there is a $10 replacement fee for
lost name badges.
Have more questions?
Please refer to the frequently asked
questions section of the MVC Web site
at www.mvcinfo.org/FAQs or contact
the OVMA at 800.662.6862 or info@
mvcinfo.org.
2012form
registration
DVMs, Technicians, Hospital Staff & Other Professionals, Guests
Snap this
QR code to
register online.
Save up to $15 by registering online at www.mvcinfo.org! NOTE: Students, interns & residents should NOT use this form. Please see page 73 for appropriate form.
Please print/type your name clearly as you would like it to appear on your badge, circling the appropriate salutation and designation below.
One form per veterinary professional, please.
Full Name: Dr. / Mr. / Ms._______________________________________________________________________________________________________ DVM / RVT
Company: _____________________________________________________________________________________________________________________________
Preferred Address:  Home  Work_______________________________________________________________________________________________________
City:_______________________________________________________________________________________________State:______________ ZIP:_______________
E-Mail:___________________________________________________ Phone:___________________________________ Fax:_________________________________
School Attended:__________________________________________ Year of Graduation: _______________________ Area of Practice:_______________________
Spouse/Guest (if attending): Mr. / Mrs. / Ms._______________________________________________________________________________________________
If you need special accommodations in order to fully participate, please list them here.________________________________________________________ ______________________________________________________________________________________________________________________________________

Check here if you do not wish to include your e-mail address in your electronic badge for use in the Exhibit Hall.
Member Dues
If you are an OVMA Member, you can renew your membership for 2012 now, or if you are not yet an OVMA Member, join today and save.
More information on OVMA Membership can be found online at www.ohiovma.org/membership.html.
 New Membership  Renewal
 Active Member: $175  Associate Member (out of state): $60
 Sustaining Member: $60
 New Graduate (2011): $85
 Auxiliary Member: $20  Life Member: No Charge* (Board Approved)
*Life Members must: (1) have been an OVMA Active Member in good standing for 30 or more years, which need not be consecutive; and, (2) either have
retired from the practice of veterinary medicine or reached 70 years of age. See www.ohiovma.org/membership.html for full details on approval process.
Payments and dues paid to the OVMA are not deductible for federal tax purposes as charitable contributions. They may be deductible as an ordinary and necessary business expense, except that portion of dues payments related to representation on legislative issues. The OVMA estimates the portion attributable to legislative advocacy in 2012 to be 20%.
Registration Category
Early Bird: Through 01/06/12
Advance: 01/07 to 02/10/12
On Site
Veterinarian – OVMA Member
 One Day. . . . . . . . . . . . . . . . . . . . . . . . $155 online | $165 mail/fax. . . . . . . . . . . . . $185 online | $205 mail/fax. . . . . . . . . . . . $225
 Full Conference. . . . . . . . . . . . . . . . . . . $260 online | $275 mail/fax. . . . . . . . . . . . . $305 online | $320 mail/fax. . . . . . . . . . . . $350
Veterinarian – Non-Member in Ohio
 One Day. . . . . . . . . . . . . . . . . . . . . . . . $330 online | $340 mail/fax. . . . . . . . . . . . . $360 online | $380 mail/fax. . . . . . . . . . . . $400
 Full Conference. . . . . . . . . . . . . . . . . . . $435 online | $450 mail/fax. . . . . . . . . . . . . $480 online | $495 mail/fax. . . . . . . . . . . . $525
Veterinarian – Out of State
 One Day. . . . . . . . . . . . . . . . . . . . . . . . $155 online | $165 mail/fax. . . . . . . . . . . . . $185 online | $205 mail/fax. . . . . . . . . . . . $225
 Full Conference. . . . . . . . . . . . . . . . . . . $260 online | $275 mail/fax. . . . . . . . . . . . . $305 online | $320 mail/fax. . . . . . . . . . . . $350
Veterinarian – OVMA Life Member (Board Approved)
 One Day. . . . . . . . . . . . . . . . . . . . . . . . . $95 online | $100 mail/fax. . . . . . . . . . . . . $105 online | $110 mail/fax. . . . . . . . . . . . $120
 Full Conference. . . . . . . . . . . . . . . . . . . $140 online | $145 mail/fax. . . . . . . . . . . . . $160 online | $165 mail/fax. . . . . . . . . . . . $180
Technician
 One Day. . . . . . . . . . . . . . . . . . . . . . . . $100 online | $110 mail/fax. . . . . . . . . . . . . $120 online | $130 mail/fax. . . . . . . . . . . . $140
 Full Conference. . . . . . . . . . . . . . . . . . . $150 online | $160 mail/fax. . . . . . . . . . . . . $170 online | $180 mail/fax. . . . . . . . . . . . $195
Hospital Staff & Other Professionals (Non-DVM & Non-Technician)
 One Day. . . . . . . . . . . . . . . . . . . . . . . . $100 online | $110 mail/fax. . . . . . . . . . . . . $120 online | $130 mail/fax. . . . . . . . . . . . $140
 Full Conference – Individual. . . . . . . . . . $150 online | $160 mail/fax. . . . . . . . . . . . . $170 online | $180 mail/fax. . . . . . . . . . . . $195
 Full Conference – Hospital Pass . . . . . . . $250 online | $260 mail/fax. . . . . . . . . . . . . $270 online | $280 mail/fax. . . . . . . . . . . . $315
Spouses & Guests (Non-Veterinary Professionals ONLY)
 One Day. . . . . . . . . . . . . . . . . . . . . . . . . . . $60 online/mail/fax. . . . . . . . . . . . . . . . . . $70 online/mail/fax . . . . . . . . . . . . . . . $75
 Full Conference. . . . . . . . . . . . . . . . . . . . . . $95 online/mail/fax. . . . . . . . . . . . . . . . . $105 online/mail/fax. . . . . . . . . . . . . . $120
71 >>
CE Credit
Please list the session numbers you plan to attend. Session Grid can be found on pages 16–29.
Thursday 2/23:_________________________________________________ Friday 2/24:_______________________________________________________
Saturday 2/25:__________________________________________________ Sunday 2/26:______________________________________________________
Additional Events
Please select any wet labs and special events you would like to attend.
Hands-On Labs (See pages 63–65.)
Special Events (See pages 8–13.)
Other Activities (See page 8.)

A ($150)

E ($375)

I ($475)

OVMA Auxiliary Lunch – Member (N/C)

Friday Boot Camp (N/C)

B ($225)

F ($225)

J ($175)

OVMA Auxiliary Lunch – Guest ($25) Qty: ____

Saturday Boot Camp (N/C)

C ($325)

G ($145)

K ($225)

MVC Live! ($15) Qty: ____

D ($150)

H ($95)

Please check here if you have a latex allergy.
Charitable Contributions (Optional)
 YES! I would like to make a donation of $______ to the Ohio Animal Health Foundation to help support animal welfare programs and research.
(Learn more about OAHF online at www.oahf.org.)
 YES! I would like to donate an additional $______ to 5 for 5 for the Future to support veterinary and technician student scholarships. (Learn more
about this program on page 3.)
Emergency Contact Information (Optional)
Name: ________________________________________________________ Relationship:______________________________________________________
Phone Number:_________________________________________________ Alternate Phone Number:___________________________________________
Payment Information
 Visa
 Mastercard
 Discover
 Check made payable to OVMA
(Sorry, we cannot accept American Express.)
Card Number:_________________________________________________________________________________ Expiration Date:__________________________
Card Holder Name:_____________________________________________________________________________ CVV:_____________________________________
Billing Address: If different from address provided on previous page, please provide the billing address exactly as it appears on your statement.
Company: _____________________________________________________________________________________________________________________________
Address: ______________________________________________________________________________________________________________________________
City:_______________________________________________________________________________________________State:______________ ZIP:_______________
Cardholder Signature:___________________________________________________________________________________________________________________
Total From Side 1: $______________________________ Total From Side 2: $__________________________ GRAND TOTAL DUE: $________________________
Cancellation Policy. If personal or professional circumstances prevent
you from attending the Conference, the OVMA will refund your Conference
registration fees, less a $50 administrative fee. A written refund request must
be received by 6 p.m. EST on March 14, 2012. No refunds can be granted after
this date. No refunds can be granted for wet labs, workshops or entertainment
functions. Written refund requests may be delivered to the OVMA via mail, fax
or e-mail.
Privacy Disclosure. The OVMA will not release your contact information to
non-exhibiting companies. Please be aware that the contact information you
provide will be encoded into your attendee badge and may be obtained by
Exhibitors.
Consent to be Photographed. By registering for the Conference, you grant
permission for your photograph to be taken and used in future marketing
materials.
Wet Lab Policy. By registering for a Wet Lab, Registrant acknowledges and
agrees that some Wet Labs involve working with live animals, cadavers,
specimens, equipment and other unique learning materials which may expose
the Registrant to a risk of injury or disease in the same manner as a veterinary
professional would be exposed to these risks in carrying out the same or
similar procedures in a clinical setting. The Registrant, by registering for these
Wet Labs and completing this Registration Form, agrees to assume this risk and
hereby waives and releases the OVMA and any faculty or other participants
from any and all damage or injury arising out of or related to Registrant’s
participation in the Wet Labs.
Send completed registration form to:
Online: www.mvcinfo.org Mail: OVMA, 3168 Riverside Dr. Columbus OH 43221 Fax: 614.486.1325 (Please do not mail a duplicate form if faxing.)
Confirmation packets will be mailed to attendees who register by Feb. 1, 2012. After this date, please pick up your badge on site.
<< 72
2012form
registration
Save a Stamp! Register online at www.mvcinfo.org.
Pre-Vet, Veterinary & Technician Students; Residents & Interns
Snap this
QR code to
register online.
Please print/type your name clearly as you would like it to appear on your badge, circling the appropriate salutation below.
Full Name: Dr. / Mr. / Ms.________________________________________________________________________________________________________________
Company (If Applicable): ________________________________________________________________________________________________________________
Preferred Address:  Home  Work______________________________________________________________________________________________________
City:_______________________________________________________________________________________________State:______________ ZIP:_______________
E-Mail:___________________________________________________ Phone:___________________________________ Fax:_________________________________
School Attended/Attending:_________________________________________________________________________ Year of Graduation:_ __________________
Special Accommodations (If Applicable):___________________________________________________________________________________________________ 
Check here if you do not wish to include your e-mail address in your electronic badge for use in the Exhibit Hall.
Join Now!
If you are not yet an OVMA Member, please fill out the section below to join. Student Members attend the MVC for FREE, and Resident/
Intern Members enjoy a reduced rate. Learn more about the benefits of membership online at www.ohiovma.org/membership.html.
 Veterinary Student Member
Please select your predicted date of graduation to determine your dues.  2012: $7
 2013: $14
 2014: $21
 2015: $25
NOTE: OVMA Student Membership is available to veterinary students who reside in Ohio and/or are attending The Ohio State University College of Veterinary Medicine.
 Post-Graduate Resident/Intern: $50
Supervisor Name:___________________________________________________________________________________________________________________ Registration Type
 Pre-Veterinary Students: $20 (Not attending the Veterinary Exploration Conference. Please register for the VEC online at www.mvcinfo.org/VEC.html)
 Veterinary Students:
 OVMA Member: No charge  Non-Member: $20
 Technician Students:
 SCNAVTA Member: No charge  Non-Member: $20
 Post-Graduate Residents/Interns:  OVMA Member: $75  Non-Member: $100
Company/Organization/Institution: __________________________________________________________________________________________________
Special Events
Please select any additional events you would like to attend.

Veterinary Student Appreciation Reception (N/C)

MVC Live! ($15) Qty: _____

Friday Boot Camp (N/C)

Saturday Boot Camp (N/C)
Emergency Contact Information (Optional)
Name: __________________________________________________________ Relationship:__________________________________________________________ Phone Number:___________________________________________________ Alternate Phone Number:________________________________________________
Payment Information
 Visa
 Mastercard  Discover  Check made payable to OVMA
(Sorry, we cannot accept American Express.)
Card Number:_________________________________________________________________________________ Expiration Date:__________________________
Card Holder Name:_____________________________________________________________________________ CVV:_____________________________________
Cardholder Signature:___________________________________________________________________________ GRAND TOTAL DUE: $______________________
Cancellation Policy. If personal or professional circumstances prevent you from
attending the Conference, the OVMA will refund your Conference registration fees, less
a $50 administrative fee. A written refund request must be received by 6 p.m. EST on
March 14, 2012. No refunds can be granted after this date. No refunds can be granted
for wet labs, workshops or entertainment functions. Written refund requests may be
delivered to the OVMA via mail, fax or e-mail.
Privacy Disclosure. The OVMA will not release your contact information to nonexhibiting companies. Please be aware that the contact information you provide will be
encoded into your attendee badge and may be obtained by Exhibitors.
Consent to be Photographed. By registering for the Conference, you grant permission
for your photograph to be taken and used in future marketing materials.
Please register by Feb. 10, 2012. After this date, you may register on site.
Online: www.mvcinfo.org Mail: OVMA, 3168 Riverside Dr. Columbus OH 43221 Fax: 614.486.1325 (Please do not mail a duplicate form if faxing.)
73 >>
put
els
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:
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it in
Book online at www.mvcinfo.org/hotels
Hyatt Regency (Headquarters Hotel)
Connected to Convention Center
Address
350 N. High Street Columbus, Ohio 43215
Block Open Dates
Until 1/31/12
Reservations
Phone: 614.463.1234
Rates
Single – $153
Other
A $50 deposit will be charged by the hotel at the time of reservation.
Group Code: Ohio Veterinary Medical Association
Fax: 614.280.3034
Double – $163
Triple – $173
Drury Inn & Suites
Quad – $183
Connected to Convention Center
Address
88 E. Nationwide Blvd. Columbus, Ohio 43215
Block Open Dates
Until 1/30/2012
Reservations
Phone: 800.325.0720
Fax: 800.350.8313
Rates*
Standard Single/Double – $127
Standard Triple/Quad – $137
Single/Double Suite – $149
Triple/Quad Suite – $159
Other
Limited suites available; make reservations early.
Group Code: 2065368
Crowne Plaza Hotel
Connected to Convention Center via covered walkway
Address
33 E. Nationwide Blvd. Columbus, Ohio 43215
Block Open Dates
Until 1/31/2012
Reservations
Phone: 614.461.4100
Rates*
Single – $152
Group Code: Ohio Veterinary Medical Association
(phone); Ohio Vet Med OVMA (online)
Fax: 614.224.1502
Double – $162
Hampton Inn & Suites
Triple – $172
Quad – $182
Across street from Convention Center
Address
501 N. High St. Columbus, Ohio 43215
Block Open Dates
Until 1/30/2012
Reservations
Phone: 614.559.2000
Rates*
Double – $128
Other
Limited suites available; make reservations early.
Group Code: VMA
Fax: 614.559.2001
King Suite – $128
Red Roof Inn
One block from Hyatt Regency
111 E. Nationwide Blvd. Columbus, Ohio 43215
Block Open Dates
Until 1/30/2012
Group Code: 2012 OVMA
Reservations
Phone: 614.224.6539 / 800-733-7663
Rates*
Single – $107
Other
Online reservations are not eligible to receive the group rate.
Double – $107
Courtyard by Marriott
Three blocks from Hyatt Regency
Address
35 W. Spring St. Columbus, Ohio 43215
Block Open Dates:
Until 1/30/2012
Reservations
Phone: 614.228.3200
Rates*
Single – $119
Group Code: Midwest Veterinary Conference 2012
Fax: 614.228.6752
Double – $119
Sheraton Columbus at Capitol Square
(Formerly Hyatt on Capitol Square)
Scan this
QR code to
book online
now!
<< 74
Fax: 614.224.6573
Six blocks from Hyatt Regency
Address
75 E. State St. Columbus, Ohio 43215
Block Open Dates
Until 2/1/2012
Reservations
Toll free: 800.325.3535
Rates*
Single – $136
Group Code: Midwest Veterinary Conference or Ohio
Veterinary Medical Association
Double – $146
Fax: 614.228.1234
Triple – $156
Quad – $166
*Rates do not include current tax of 16.75%
OHIO VETERINARY MEDICAL ASSOCIATION
NIGHT WITH THE COLUMBUS BLUE JACKETS
DAY
GAME
DATE
TIME
FRI FEB 24
7:00PM
OPPONENT
# OF
UPPER BOWL
UPPER BOWL
TOTAL
TICKETS
CENTER ICE
BEHIND GOALS
ORDER
$40.00
$20.00
Colorado Avalanche
$
COME OUT AND ENJOY A BLUE JACKETS GAME WHILE YOU ARE IN TOWN!
HANDLING
SEATING IS LIMITED!!!!! GET YOUR ORDER IN TODAY!!!!!
TOTAL
$5.00
$
TICKET ORDER INFORMATION:
NAME:
ADDRESS:
CITY/STATE/ZIP:
DAY PHONE:
EVENING PHONE: (
E-MAIL:
FAX NUMBER: (
)
)
PAYMENT INFORMATION:
o CHECK PAYABLE TO: COLUMBUS BLUE JACKETS
o DISCOVER
CARD #
o MASTERCARD
o AMERICAN EXPRESS
o VISA
EXPIRATION DATE:
SIGNATURE:
MAIL ORDER FORM AND PAYMENT TO:
COLUMBUS BLUE JACKETS C/O CHRIS ANDERSON
200 W. NATIONWIDE BLVD., COLUMBUS, OH 43215
ORDER BY PHONE AT:
FAX ORDERS TO:
(614) 246-3739
(614) 246-3976
TICKETS ARE LIMITED AND SUBJECT TO AVAILABILITY
SOME OR ALL PRICE LEVELS MAY NOT BE AVAILABLE AT TIME OF TICKET PURCHASE
CALL (614) 246-3976 FOR TICKET AVAILABILITY
75 >>
KiddieCorp National Headquarters
8961 Complex Drive
San Diego, CA 92123
Tel: (858) 455-1718
Fax: (858) 455-5841
E-mail: info@kiddiecorp.com
Hello Midwest Veterinary Conference Parents!
Thank you very much for your interest in the Midwest Veterinary Conference children’s program. Our goal is to provide your
children with a program they want to attend, while providing you with that critical “peace of mind” feeling so you can attend
event activities.
KiddieCorp is pleased to provide a children’s program during the Midwest Veterinary Conference. KiddieCorp is in its twentysixth year of providing high quality children’s programs and youth services to conventions, trade shows and special events. We
take watching your children very seriously. KiddieCorp has enjoyed a long-time partnership with the American Academy of
Pediatrics, which has helped to establish KiddieCorp as a premier provider of event children’s program services.
ACTIVITIES
Activities include exciting themes, arts & crafts, group games, music & movement, board games, story time, dramatic play, etc.
We provide activities appropriate for each age group, using safe, sturdy equipment that you can feel comfortable with.
Children can make their own choices within KiddieCorp’s program.
THEME – Wild, Wild West Howdy partners! Let’s get saddled up for one wild ride. Our adventure will begin when we
dress the part. We will have a variety of Cowboy hats, scarfs, and sheriff badges. Yee Haw! All cowboys and cowgirls will
learn how to master the rope like a real wrangler when we all do a little jump roping. It’s a guaranteed good time for
everyone! Next, we’ll mosey on over to the arts and crafts table to make collages, bead creations, and wild west coloring
sheets No cowboy or cowgirl’s day would be complete without an obstacle course to test their skills and relay races to keep
them laughing. Then, we’ll wind down our long day on the range by sitting around the imagination campfire to tell our favorite
stories. So partners, saddle up and get ready to have the best time ever while we discover how the West was explored!
COMMITMENT
Our goal is to provide your children with a comfortable, safe and happy experience. Our staff to child ratios are high to
ensure that every child feels special (1:1 for children 6 weeks through 5 months; 1:2 for children ages 6 months through 11
months old; 1:3 for children ages 1 through 2 years old; 1:5 for children ages 3 through 12 years old). KiddieCorp team
members are selected according to their integrity, experience, education and enthusiasm. They must be wonderful with kids!
You will feel extra secure knowing that the KiddieCorp team is bonded and that we carry ample liability insurance.
WHERE, WHEN, FOR WHOM
The program is for children ages 6 weeks through 12 years old. The dates for the program are February 23-26, 2012 and will
be located at the Hyatt Regency in Columbus, Ohio. Snacks and beverages will be provided and meals need to be supplied by
parents or purchased when checking in your child each day. Please note, purchased meals will be from a menu supplied by the
Hyatt Regency.
REGISTRATION
See the attached registration and consent form for event information. The advance registration deadline is January 27,
2012. Register early as availability is limited and handled on a first-come, first-served basis. KiddieCorp must receive both
the registration/consent form and payment in full to hold reservations. Although every effort will be made to accommodate onsite registrations, there is no guarantee and it is not recommended.
NEED MORE INFORMATION?
KiddieCorp is always available to answer any questions. Feel free to contact KiddieCorp by
phone at (858) 455-1718 or by e-mail at info@kiddiecorp.com. You can also register on-line
at https://www.kiddiecorp.com/ovmakids.htm.
<< 76
CHILDREN’S PROGRAM REGISTRATION FORM
- Midwest Veterinary Conference  February 23 - 26, 2012 -
Parent Info: Last Name
First Name
E-mail address:
Phone: (
)
The pre-registration deadline is January 27, 2012.
Children must be registered for a minimum of two consecutive hours per child, per day.
Name(s)
Age(s)
(2 hour min.)
Hours Needed
# of Hours
Thursday, February 23
1__________________________ ________ ________________ _________
7:00am - 6:00pm
2__________________________ ________ ________________ _________
3__________________________ ________ ________________ _________
Friday, February 24
1__________________________ ________ ________________ _________
7:00am - 6:00pm
2__________________________ ________ ________________ _________
3__________________________ ________ ________________ _________
Saturday, February 25
1__________________________ ________ ________________ _________
7:00am - 6:00pm
2__________________________ ________ ________________ _________
3__________________________ ________ ________________ _________
Sunday, February 26
1__________________________ ________ ________________ _________
7:00am - 5:30pm
2__________________________ ________ ________________ _________
3__________________________ ________ ________________ _________
 Check here if your child(ren) has any special needs under the Americans with Disabilities Act. We will contact you.
Payment in full is required to confirm your reservations. Although every effort will be made to accommodate late or
on-site registrations, there is no guarantee that KiddieCorp can accept children unless they are pre-registered.
TOTAL FEE: $8.00 per hour, per child x _____ # of Children x _____ # of Hours = $__________
Check: Payable to KIDDIECORP
Credit Card*:________ ________ ________ ________ Exp. ____/____
Send completed forms & payment to:
-US Dollars Only*Visa, MasterCard or American Express
•
•
•
•
KiddieCorp/OVMA
8961 Complex Drive
San Diego, CA 92123
Fax: 1-858-455-5841 (credit card payment only)
KiddieCorp staff does not administer medication. To ensure a safe and fun-filled environment, any child who is ill will not be admitted
to the children’s program.
Please label your child’s belongings. We will maintain a lost and found, however, KiddieCorp does not accept responsibility for th e
loss or theft of any toy, book, or other personal items.
For parents with infants, please bring diaper changing supplies, formula/baby food, and a change of clothes.
Cancellation Policy: Cancellations must be made to KiddieCorp prior to January 27, 2012 for a full refund. Cancellations made after
that date will be subject to a 50% cancellation fee. Once the program has begun, no refunds will be issued.
Page 1 of 2
77 >>
Midwest Veterinary Conference
•
CHILDREN’S PROGRAM CONSENT FORM
Child(ren)’s first and last names:
Name____________________________ Age_____
Name________________________ Age_____
Name____________________________ Age_____
Name________________________ Age_____
•
Please list only those allowed to check-out the above child(ren) from the KiddieCorp children’s program
(please list first and last names; photo ID may be required when checking out children):
Name______________________________________
Relationship to child(ren)___________________
Name______________________________________
Relationship to child(ren)___________________
•
Are any of your children allergic to anything (foods, etc.) or are any of your children taking medication?
If yes, explain: (Note: KiddieCorp staff does not administer or assist in the administration of any medications.)
__________________________________________________________________________________
__________________________________________________________________________________
•
Do any of your children have health limitations or special needs? Any birthmarks or injuries we should be aware of?
__________________________________________________________________________________
__________________________________________________________________________________
We, the undersigned adults, agree to place our child or ward in the KiddieCorp children’s program.
For ourselves, our child/ward (or children/wards), and each of our respective heirs, assigns, and
next of kin, we hereby release and agree to indemnify and hold harmless KiddieCorp, Ohio Veterinary
Medical Association, the Midwest Veterinary Conference and their respective officers, directors, agents,
employees, assigns, vendors, and the owners and/or lessors of the facility or facilities where the program
will be held (collectively “the Releasees”), from any and all claims which may now or hereafter arise from
our child’s/ward’s (or children’s/ward’s) participation in the KiddieCorp program. We do not release claims
arising from Releasees from any of their willful misconduct or gross negligence.
We have read the above and understand this release. Furthermore, in the event of an emergency
or health concern, KiddieCorp has our permission to administer first aid, contact our pediatrician,
or obtain emergency medical treatment for our child. We agree to pay all expenses incurred due
to an emergency involving our child.
Parent/Guardian Name:
Signature:
Date:
Address:
City:
State:
Phone: (home) (
Cell/Pager #: (
)
(work) (
)
Zip:
)
E-mail:
Pediatrician’s Name:
City:
Emergency Contact (Someone who is not at this location with you):
Emergency Contact Phone: (
)
We suggest you make a copy of your completed form as a reference. Confirmations will not be sent. KiddieCorp reserves the right
to limit participation of any child whose presence or behavior may disrupt the program or endanger the health or safety of others.
Page 2 of 2
<< 78
quick refer
Dates & Deadlines
Contact the OVMA & the
Midwest Veterinary Conference
December 2011: Registration begins
Jan. 6, 2012: Early Bird Registration
ends
February 2012: Conference Proceedings available online
Feb. 1, 2012: Deadline to register and
receive mailed confirmation
Feb. 10, 2012: Pre-registration deadline; Request for special assistance
deadline
Feb. 13, 2012: Confirmation packets
mailed this week
Feb. 23­–26, 2012: Midwest Veterinary
Conference
March 14, 2012: Refund requests must
be submitted by this date
Mailing Address: 3168 Riverside Drive Columbus, Ohio 43221
Phone: 614.486.7253 / 800.662.6862 (toll free on Ohio)
Fax: 614.486.1325
E-mail: info@mvcinfo.org
Navigate the Web
Learn more about the following Conference topics by logging on
to the MVC Web site:
Registration:
www.mvcinfo.org/registration
• Register
online
• Registration categories & fees
• Dates & deadlines
• PDF forms
• Registration FAQs
Education:
www.mvcinfo.org/education
Program changes & updates
• CE tracks
• Hands-On Labs availability
• Session grids & descriptions
• Conference Proceedings
• CE FAQs
•
Students:
www.mvcinfo.org/students
•
•
•
•
•
•
•
•
Exhibit Hall:
www.mvcinfo.org/exhibits
Up-to-date Exhibitor list
• Interactive floor plan
• Visiting the Exhibit Hall FAQs
•
•
Registration &
Customer Service
Hours
Wednesday: 5 to 6:30 p.m.
Thursday: 7 a.m. to 6 p.m.
Friday: 7 a.m. to 6 p.m.
Saturday: 7 a.m. to 6 p.m.
Sunday: 8 a.m. to 2 p.m.
Hotel reservations
Travel recommendations
On-site services
Volunteer opportunities
Visiting Columbus
General FAQs
Exhibit Hours
Thursday: 11 a.m. to 6 p.m.
Friday: 11 a.m. to 6 p.m.
Saturday: 11 a.m. to 6 p.m.
Speakers:
www.mvcinfo.org/speakers
•
Special Events:
www.mvcinfo.org/events
Student registration & fees
Student Appreciation Reception RSVP
Veterinary Exploration Conference
Registration
Session recommendations for students
Attendees & Travel:
www.mvcinfo.org/attendees
•
•
Up-to-date Speaker listing
Speaker photos & bios
Session & Lab Hours
Thursday: 8 a.m. to 5 p.m.
Friday: 8 a.m. to 5 p.m.
Saturday: 8 a.m. to 5 p.m.
Sunday: 8:30 a.m. to 5 p.m.
MVC Live! tickets
• Calendar of events happening during
the Conference
• Add your organization’s event to the
MVC calendar
•
FAN US ON FACEBOOK
www.facebook.com/mvcinfo
ence
US
www.twitter.com/mvcinfo
79 >>
PRESORT STD
US POSTAGE
PAID
Ohio Veterinary Medical Association
Midwest Veterinary Conference
3168 Riverside Drive
Columbus, Ohio 43221
cinfo.org
www.mv
<< 80
COLUMBUS OHIO
PERMIT NO 1993
fo
m/mvcin
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