ADC Program Registration

Please complete this form if you are an ADC Candidate or Graduate and wish to only attend the ADC program on Saturday 11 August

If you are attending the full two-day Dentist program (10–11 August) or the full one-day program (11 August), you do not need to register separately for the ADC program, as your registration includes this. Register for the full program here.

You can register online by completing the form below, or download and complete the PDF booking form and send it back to us.

Registration for ADC program only.

  1. *
    Please enter your title
  2. *
    Please enter your first name
  3. *
    Please enter your surname
  4. Are you an ADAVB or ADA Interstate member?*
    Please make a selection
  5. *
    Please enter your membership number
    Please enter your 6-digit ADAVB membership number or your interstate ADA branch membership number
  6. *
    Please enter your address
  7. *
    Please enter your suburb
  8. *
    Please make a selection
  9. Invalid Input
  10. *
    Please enter your country
  11. *
    Please enter your email address
    (Important: Your confirmation and reminder will be sent to this email)
  12. Invalid Input
  13. Invalid Input
  14. Total
    $0.00
  15. Upon clicking the Pay Now button below you will be directed to the Westpac payment page to securely make your payment.

  • Register today to guarantee your attendance.
  • Register Now
  • Register for 1 day or both!