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Attendee Registration Guide

2013 Kansas Conference on Aging

September 4 & 5, 2013, Topeka





September 4 & 5, 2013, Topeka

Shining New Light on Senior Living

Showing at: Capitol Plaza Hotel & Convention Center & Expocentre 1717 SW Topeka Blvd. Topeka, KS 66612 (785) 431-7206 Produced by: Senior Support Initiatives, Inc. Bob Faught, President & Cofounder Mobile: (785) 806-7806 Email: Conference Website:



he Culture of A t g n i gin ang h g ie “C nd Disabilit s In Kansas ” a

Now Showing

“Shining New Light on Senior Living” Featuring "Interprofessional Team-Based Care"

Table of Conents Table of Contents 2013 Kansas Conference on Aging

Capitol Plaza Hotel & Conference Center Topeka, Kansas September 4 & 5, 2013

Table of Contents: DESCRIPTION...........................................................................PAGE Table of Contents.............................................................................. 3 Attendee Information......................................................................... 4 About the Conference........................................................................5 Goals & Objectives............................................................................ 6 Program..............................................................................................7 Conference at a Glance.................................................................... 8 Presentations Summary.................................................................... 9 Professional Partnerships............................................................... 10 Important Conference Information....................................................11 Registration Information.................................................................. 12 Registration Form.............................................................................13 Layout of Exhibit Tables.............................................................. 14-15 Welcome to the 2013 Kansas Conference on Aging’s Attendee Registration Guide This Attendee Registration Guide provides valuable information for all those participating in the 2013 Kansas Conference on Aging. Those Registering to attend this Conference will include all those throughout the state of Kansas who focus on Seniors and those with Disabilities. This Guide also defines the importance of inviting the Public (with LIMITED ACCESS) throughout the State to attend Exhibits/meet with Providers for FREE ADMISSION! All to promote “Interprofessional Team-Based Care” in Kansas. This is the perfect opportunity for you and those in your organization to take an active role with your peers around the state of Kansas in improving the quality and delivery of health care delivery to Seniors and those with Disabilities.

2013 Kansas Conference on Aging, September 4 & 5, 2013


Attendee Information Attendees Participating in the 2013 Kansas Conference on Aging

Capitol Plaza Hotel & Conference Center Topeka, Kansas September 4 & 5, 2013 It has been almost five years since many of you were able to network with others involved with Aging and Disabilities across the state of Kansas. Register as an Attendee at the Conference to participate in an "Interactive Conference." Our theme is “Shining New Light on Senior Living,” our focus “Interprofessional Team-Based Care,” and goal “Changing the Culture of Aging in Kansas.”


Professional “Interactive Conference”: • Expand Interprofessional Team-Based Care into all disciplines that support Seniors & Disabilities • Networking for Professionals, Providers, Support Teams & Students from all disciplines around state • Brainstorm with peers to define challenges that exist, and viable solutions that are sustainable • Two days of diverse National and Statewide Speakers; experts in their fields • 9–Major Presentations and 38–Breakout Sessions during both days • Insight into how to improve the quality and costs for health care delivery to Seniors and those with Disabilities • Provide CEU Credits to almost all disciplines attending Conference • 80 Exhibit Booths for Sponsors & Exhibitors to differentiate their products & services with their peers Public, with Limited Access to Conference, for FREE ADMISSION: • Public invited for FREE ADMISSION to meet with Sponsors and Providers in Exhibit Area • Public can attend Track 2 Breakout Sessions targeted for Professionals, Providers & the Public We look forward to your attendance and participation. Please share this information on the 2013 Kansas Conference on Aging with others who provide support to Seniors and those with Disabilities.

Organized by Senior Support Initiatives, Inc.

Bob Faught, President • 785-806-7806 • Event website: Interesting Aging Statistics from the Landon Center on Aging, KUMC’s Website Kansas ranks 23rd among states in percentage of persons aged 65 and older­—13.0 compared to 12.4 percent for the U.S. as a whole (as of 2005, latest data available). By the year 2030, the Census Bureau projects that 20.2 percent of Kansas will be aged 65 or older. However, Kansas now ranks 10th among states in the percentage of the oldest old, that is, persons aged 85 and older. In fact, 7 of the top 17 counties in the U.S. with the highest percentage of the oldest old are in Kansas (Smith, Osborne, Cloud, Elk, Nemaha, Washington, and Comanche).


2013 Kansas Conference on Aging, September 4 & 5, 2013

About the Conference 2013 Kansas Conference on Aging Interaction & Participation to Develop “Team-Based Care” DATE: September 4 & 5, 2013 LOCATION:

Capitol Plaza Hotel & Convention Center & Expocentre 1717 SW Topeka Blvd. Topeka, KS 66612

ADDRESSING: Conference Addresses Aging and Disabilities THEME: Shining New Light on Senior Living FOCUS: Interprofessional Team-Based Care GOAL: “Changing the Culture of Aging and Disabilities in Kansas” ATTENDING: •

Registration for Professionals, Providers, Staff, Volunteers from all disciplines supporting Aging and Disabilities


Professionals & Providers can be Sponsors, Exhibitors, Advertisers, and Door Prize Donors


FREE ADMISSION for Public to attend Exhibits & Select Track 2 Breakout Sessions

CEU CREDITS: Provided for most disciplines Registered at Conference CONFERENCE PRESENTATION TRACKS: • Track 1: Professionals, Providers, Support Teams, Volunteers & Students • Track 2: Track 1 and the Public SPEAKERS: National, Regional & Statewide Speakers to address Theme, Focus, Goals, and Objectives KEYNOTE SPEAKER: David W. Moen, MD, President of Bluestone Solutions, Inc, Stillwater, MN


Shawn Sullivan, Secretary, Kansas Department for Aging and Disability Services, Topeka Ed O’Malley, President & CEO, Kansas Leadership Center, Wichita John Carney, MEd, President & CEO, Center for Practical Bioethics, Kansas City, MO Kansas University Medical Center Team, Team-Based Care Education, Kansas City, KS

DOOR PRIZES Organizations can provide Door Prizes and be listed in the Conference Program

2013 Kansas Conference on Aging, September 4 & 5, 2013


Goals & Objectives Interaction & Participation to Promote “Team-Based Care” GOALS: • • • • • • •

“Changing the Culture of Aging and Disabilities in Kansas” “Interactive Conference” that provides Networking for Providers & Professionals in Kansas Expand Interprofessional Team-Based Care into all disciplines Networking opportunities for all Professionals & Providers throughout state of Kansas Provide Public opportunity for eduction, support & contact with Providers at Conference Provide Professionals & Providers direct access to Public through Exhibit Booths Venue that provides Sponsorship, Exhibitor, Advertiser & Door Prize Opportunities for Professionals/Providers


Achieve Balance/Sustainability Through Care Delivery Models Enabled by These Requirements 1. Team-Based, Relationship Centered Care Delivery Solutions 2. Social Medical Predictive Models 3. Social Health Promotion 4. Resilient and Collaborative Care Planning 5. Care Migration to Life Geography 6. Enabling Technology, Communications, Learning, and Behavioral Change


Major Presentations & Breakout Sessions that encourage participation & interaction Defines similarities & differences in health care delivery models in urban & rural communities Compare existing models in Kansas with successful models developed around U.S. Collectively, define challenges, begin to create viable solutions that are sustainable & effective


Professionals, Providers, Support Teams & Volunteers can Register for Conference under “REGISTRATION” Tab; Seniors & Students have reduced Registration Fee STUDENT Special: Any Breakout Session, NO Major Presentations or meals, FREE ADMISSION


Opportunities to be a Sponsor, Exhibitor, Advertiser & Door Prize Donor Most Sponsorship Opportunities include complimentary Exhibit Booth and Registrations Exhibitors have reduced rate if Registered and paid by July 17, 2013 Exhibitor Booth includes Two Complimentary Registrations, All Presentations, Meals & CEU Credits

PROGRAM: • • • •


Wednesday, September 4, 2013: 5—Full Presentations; 20—Breakout Sessions Thursday, September 5, 2013: 4—Full Presentations; 18—Breakout Sessions All Conference Breaks will be held in the Exhibit Booth Area to bring Attendees to Providers Both Days: Exhibition Area with 80 Exhibitors open to Attendees & the Public

2013 Kansas Conference on Aging, September 4 & 5, 2013

Program Wednesday, Sept. 4, 2013 6:30-8:00 a.m.

Registration & Breakfast Buffet

Thursday, Sept. 5, 2013 6:30-8:00 a.m.

Breakfast Buffet

8:00 a.m.-4:00 p.m. Exhibit Hall Open

8:00 a.m.-3:00 p.m. Exhibit Hall Open

8:00-9:00 a.m.

8:30-9:00 a.m.

Opening Session

9:10 a.m.-4:00 p.m. Health Fair

9:00-9:30 a.m.

Break & Exhibits

9:00-9:30 a.m.

Break & Exhibits

9:30-10:30 a.m.

General Session

9:30-10:30 a.m.

Keynote Speaker

10:30-10:45 a.m.

Break & Exhibits

10:30-10:45 a.m.

Break & Exhibits

10:45-11:45 a.m.

Concurrent Sessions Three

10:45-11:45 a.m.

Concurrent Sessions One

12:15-1:15 p.m.

Lunch with Speaker

11:45 a.m.-1:15 p.m. Lunch with Speaker

1:15-1:45 p.m.

Break & Exhibits

1:15-1:30 p.m.

Break & Exhibits

1:45-2:45 p.m.

Concurrent Sessions Four

1:30-2:30 p.m.

General Session

3:00-3:30 p.m.

Closing Session

2:30-2:50 p.m.

Refreshment Break & Exhibits

3:30-3:45 p.m.

Conference Summary

2:50-3:50 p.m.

Concurrent Sessions Two

3:45-4:00 p.m.

Musical Closing

4:00-5:00 p.m.

General Session with Speaker

Dinner on Your Own

Opening Session

Final Door Prize Drawing (must be present to win)

Conference Program Overview Schedule Overview:

Exhibitors’ Tables:

• • • • • • •

Conference Breaks:

Two days, Wednesday & Thursday, Sept. 4 & 5, 2013 Wednesday: Five Major Conference Presentations Thursday: Four Major Conference Presentations 80 Exhibit Tables in Sunflower Room All Conference Breaks held in Exhibit area After Closing on Wednesday, dinner on your own Attendees organized by color stripe on name badge Door Prize Drawings held through both days

• • • • • • •

80 Exhibit Tables in Sunflower Room Sunflower Room in Maner Conference Center Specific Tables designated for Sponsors Refreshment Stations & open seating available All Conference Breaks held in Exhibit Area Allows Attendees to spend time in Exhibit Area Open seating available for Attendees

Breakout Sessions:

Public Attend Exhibits & Health Fair:

• •

Name Badge Colors Identify Attendees:

• •

38 Breakout Sessions held at Conference Wednesday: 20 Sessions; 10 in the morning & afternoon Thursday: 18 Session; 9 in the morning & afternoon Held in Maner Conference Center & Emerald Conference Rooms in Capitol Plaza Hotel

• • • • •

Public invited to attend Exhibits at NO CHARGE Public can interact with Providers to find support Attendees organized by color stripe on name badge Necessary to differentiate those Attending Especially since Public invited to attend

2013 Kansas Conference on Aging, September 4 & 5, 2013


Conference at a Glance 2013 Kansas Conference on Aging Event: 2103 Kansas Conference on Aging Theme: “Shining New Light on Senior Living” Focus: “Interprofessional Team-Based Medicine” Date: May 1 & 2, 2013 Location: Capitol Plaza Hotel & Conference Center & Expocentre, Topeka, KS Who’s Attending? • •

By Groups: • Professionals, Providers, Volunteers, Seniors, Students & Public By Responsibilities: • Owners, Administrators, Managers, Staff, Support Teams & Volunteers

Name Badges by Colors based on Groups & Responsibilities: GOLD STRIPE

Groups: • Professionals • Providers • Support Teams • Volunteers


Groups: • Sponsors • Exhibitors • Advertisers • Door Prize Donors


Group: • SENIOR Disc. • STUDENT Disc. Identification: • SENIOR or STUDENT


Group: • STUDENT Special Identification: • STUDENT on Name Badge


Group: • PUBLIC Responsibilities: • Seniors • Disabilities • Support Teams

Activities: • • • • •

Major Conference Presentations Breakout Sessions Exhibits with Providers (80 Exhibit Tables in Sunflower Conference Room) Networking with others throughout Kansas DOOR PRIZES given throughout both days to Registered Attendees

Education Tracks: • •


Conference Registration: • • • • • • • • •

Sponsor, Exhibitor & Advertiser Options shown on “Organizations” Application after Login to website Exhibitor Booth is $550 paid before 07/17/2013; Includes Two Complimentary Registrations, all Meals, Presentations & CEU Credits Exhibitor Table is $650 after 07/17/2013 and before 08/07/2013 20% Discount off Advertising in Conference Program if paid with Exhibit Booth by July 17, 2013 Registration is $175 per person for entire Conference; $150 for Seniors; $100 for Students See Registration Options under “Attendee” Interactive Application after Login to Conference website PUBLIC has FREE ADMISSION to Exhibits & Track 2 Breakout Sessions STUDENTS have FREE ADMISSION to attend all Breakout Sessions, Exhibit Booths ONLY! PUBLIC & STUDENTS NOT PAYING for REGISTRATION have LIMITED ACCESS to Conference



Organizations that provide DOOR PRIZES get recognition in Conference Program

2013 Kansas Conference on Aging, September 4 & 5, 2013

Presentations Summary 2013 Kansas Conference on Aging Wednesday, September 4, 2013: TIME


08:00-09:00 Opening Session 09:30-10:30 Keynote Presentation 10:45-11:45 Concurrent Session 1-A Concurrent Session 1-B Concurrent Session 1-C Concurrent Session 1-D Concurrent Session 1-E Concurrent Session 1-F Concurrent Session 1-G Concurrent Session 1-H Concurrent Session 1-J Concurrent Session 1-K 11:45-1:15 Lunch Session 01:30-02:30 Major Presentation 02:50-03:50 Concurrent Session 2-A Concurrent Session 2-B Concurrent Session 2-C Concurrent Session 2-D Concurrent Session 2-E Concurrent Session 2-F Concurrent Session 2-G Concurrent Session 2-H Concurrent Session 2-J Concurrent Session 2-K 04:00-05:00 Closing Session

Thursday, September 5, 2013: TIME


08:00-09:00 Opening Session 09:30-10:30 Major Presentation 10:45-11:45 Concurrent Session 3-A Concurrent Session 3-B Concurrent Session 3-C Concurrent Session 3-D Concurrent Session 3-E Concurrent Session 3-F Concurrent Session 3-G Concurrent Session 3-H Concurrent Session 3-J Concurrent Session 3-K 11:45-01:15 Lunch Session 01:45-02:45 Concurrent Session 4-A Concurrent Session 4-B Concurrent Session 4-C Concurrent Session 4-D Concurrent Session 4-E Concurrent Session 4-F Concurrent Session 4-G Concurrent Session 4-H Concurrent Session 4-J Concurrent Session 4-K 03:00-03:30 Closing Session 03:30-03:45 Conference Summary 03:45-04:00 Musical Closing

Team-Based Care Shelley Bharracharya, DO, MPH, FAAFP Hope in Health Care David W. Moen, MD Team-Based Care David W. Meon, MD & Mary Scott Team Based Educ. Shelley Bharracharya, DO, MPH, FAAFP Coordinated Care Sarah Keenan, RN ADRC Janis DeBoer Dementia/Alzheimer’s Michelle Neidens, LSCSSW Long-Term Care Monte Coffman Oral Health Marcia Manter Kansas Ombudsman Barbara Hickert Medication Mgmt. Megan Hedden, PharmD Hearing & Aging Belinda Gonzales, HIS Team-Based Examp. Panel Discussion Practical Bioethics John Carney, MEd Team-Based Care David W. Moen, MD PACE Karren Weichert & Justin Loewen Practical Bioethics Jay Carney, MEd KanCare Review Panel Discussion Medicare Pamela Brown KS Health Homes Becky Ross Geriatric Medicine Melissa Gaines, MD Physical Therapy Biagio Mazza, PT, OCS, SCS Care Transitions Sarah Irsik-Good Green House Tom Williams, MS Rural KS Develop. Willie Novotny



KU Medical Center Bluestone Solutions, Inc. Bluestone/Via Christi KU Medical Center Bluestone Phys. Services KS Area Agencies on Aging Alzheimer’s Association Windsor Place Oral Health Kansas Kansas Ombudsman Balls Food Stores NuSound Hearing Center Multiple Organizations Cntr. for Practical Bioethics Bluestone Solutions, Inc. MIdland Care/Via Christi Cntr. for Practical Bioethics KDADS, KDHE, MCOs KDADS KDHE KU Medical, Wichita Elite PT KFMC Asbury Park New Paradigm Solutions




Health Care Special Speaker (Schedule Pending) Patient Responsibility Bob Faught Room Not Available Case Management Susan Rogers, RN-BC, MSN, CCM 4 Stages of Aging Tim Johansson, Sr., MA Hearing Raymond Hull, PhD Vision Kendall Krug, OD Diabetes L. Kurt Midyett, MD Recovery Michael Brady, DC Music Therapy Alicia Clair, PhD Balance & Aging Burt DeWeese, PT, MCMT Homecare in Kansas Ed Schultz, PhD Health Information Laura McCrary, EdD Room Not Available KanCare Panel Discussion Hiring Best People Tim Johansson, Jr., MA Culture Change K.J. Langlais, LACHA Caregiving & Music Kareen King Action Pact Steve Shields Vision Loss Christine Owens Exercise for Seniors Greg Kandt, EdD Elopement David Meek, RN, MA Patient Engagement Laura McCrary, EdD Closing Session Shawn Sullivan, Secretary Going Forward Bob Faught Musical Closing Kareen King

2013 Kansas Conference on Aging, September 4 & 5, 2013


Senior Support Initiatives Roger’s Prof. Guidance CareProfiler Wichita State University Kendall Krug, OD St. Luke’s Health System Spinal Relief Center of KS KU Music Education Rebound Physical Therapy Caregivers, Inc. KS Health Information Net. KDADS, KDHE, MCOs CareProfiler GERTI The Golden Experience Action Pact Res. Cntr. for Indep. Living Fort Hays State University Natl. Elopement Prev. KS Health Information Net. KDADS Senior Support Initiatives The Golden Experience


Professional Partnerships Professional Organizations for CEUs & Support for Attendees at Conference CONTACTING KANSAS HEALTH & PROFESSIONAL ORGANIZATIONS: Providing education for all Attendees, Sponsors, and Exhibitors is essential to “Shine New Light on Senior Living,” with the focus on “Interprofessional Team-Based Care.” We have targeted Health and Professional Organizations that represent most disciplines that provide support to Seniors and those with Disabilities. We are CONTINUING TO MAKE CONTACT for prior CEU approval, where applicable, and providing information to their members. If your organizations is listed and we have not contacted you, please contact Bob Faught at, or his mobile number, 785-806-7806. Thank you. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

• • • •


Kansas Health & Professional Organizations

Alzheimer’s Association American Cancer Society American Diabetes Association American Heart Association American Lung Association of Kansas American Red Cross Arthritis Foundation of Kansas Association of Mental Health Centers for Kansas Bureau of Community Health Systems Case Manager Society of America - Kansas City Chapter Central Plains Geriatric Education Center, KUMC Housing & Credit Counseling, Inc. Kansas Academy of Family Physicians Kansas Academy of Physician Assistant Kansas Adult Care Executives Kansas Association for the Medically Underserved Kansas Association Medical Staff Services Kansas Association of Area Agencies on Aging Kansas Assoc. of Centers for Independent Living Kansas Association of Health Care Communicators Kansas Association of Nurse Anesthetists Kansas Association of Nursing Students Kansas Behavioral Sciences Regulatory Board Kansas Center for Assisted Living Kansas Chiropractic Association Kansas Dental Board Kansas Dental Hygienists’ Association Kansas Department of Health & Environment Kansas Department for Aging and Disability Services Kansas Department for Children and Families Kansas Elder Law Network Kansas Foundation for Medical Care Kansas Health Care Association

Kansas Healthcare Collaborative Kansas Health Foundation Kansas Health Information Mgmt. Association Kansas Health Information Network

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

Kansas Health Institute Kansas Hearing Society Kansas Home Care Association Kansas Hospital Association Kansas Insurance Department Kansas Leukemia and Lymphoma Society Kansas Lifespan Respite Coalition Kansas Long-Term Care Ombudsman Kansas Medical Society Kansas Occupational Therapy Association Kansas Optometric Association Kansas Organization of Nurse Leaders Kansas Pharmacists Association Kansas Physical Therapy Association Kansas Psychiatric Society Kansas Public Health Association Kansas Respiratory Care Society Kansas Rural Health Association Kansas Society of Eye Physicians & Surgeons Kansas Society of Otolaryngology Kansas Speech-Language-Hearing Association Kansas State Board of Healing Arts Kansas State Nurses Association Landon Center on Aging, KUMC National Kidney Foundation of Kansas & Western Missouri Midwest Association for Medical Equip. Services Missouri-Arkansas-Kansas Alliance of Information and Referral Systems Missouri-Kansas Association of Cardiovascular and Pulmonary Rehabilitation National Alliance on Mental Illness - Kansas Older Kansans Information Referral Service Assoc. Oral Health Kansas Physician Hospitals of Kansas Retired and Senior Volunteer Program Sunflower Chapter Healthcare Financial Management Assoc. Sunflower Foundation: Health Care for Kansans

2013 Kansas Conference on Aging, September 4 & 5, 2013

Important Conference Information Who Should Attend Conference? Who Should Attend Conference? • • • • •

Professionals, Providers, Support Teams & Volunteers Public (Seniors, Disabilities, Caregivers, Family & Friends) Organizations seeking to be Sponsors, Exhibitors, Advertisers & Door Prize Donors Almost all disciplines that provide support, programs & services to Seniors & those with Disabilities Anyone associated with or involved in disciplines of organizations listed under Professional Partnerships

Door Prizes: • • • • • •

Door Prizes will be given out throughout Conference Drawn from tickets given to each Registered Attendee, Sponsor & Exhibitor (Public NOT included) Final Door Prize, largest valued prize, given at Closing Session on Thursday (Must be present to win) Door Prizes come from donations from organizations throughout the state of Kansas Door Prize Donors listed in front of Conference Program If you are interested in becoming a Door Prize Donor, please contact Bob Faught (Email:, Mobile: 785-806-7806)

Marketing Conference Throughout Kansas: •

Used template from Topeka & Shawnee County Senior Health Fair & Symposium held on October 7, 2012

• • • • • •

Use In-Kind Donations from TV Stations, Radio Stations & Newspapers throughout Kansas Will partner with TV, Radio & Newspaper Sponsors in each market as Patron Sponsor for Conference Send Press Releases throughout Kansas Will also partner with Public TV and Radio whenever possible Will produce television and radio commercials to distribute throughout Kansas Contact all major newspapers throughout Kansas to place ads for Conference

• • •

Multiple TV interviews with all TV partners in Kansas Multiple Radio interviews with all Radio Partners in Kansas Provide Newspaper interviews with Kansas newspapers

TV, Radio & Newspaper Advertising:

TV, Radio & Newspaper Interviews:

2013 Kansas Conference on Aging, September 4 & 5 2013


Registration Information Registration Information

Conference Hotel & Lodging

Full Conference Registration Includes:

Public & Special Student Registration:

Single Day Registration Includes:


Presentations, Exhibits, Events, Health Fair/Screening and all scheduled meal functions. This includes breakfast and lunch on both days. Extra GUEST tickets for special events can be purchased on the Registration Form. Full-time students and Seniors (age 65+) are eligible for a reduced rate. All functions scheduled for that day. Full-time Students and Seniors (age 65+) are eligible for a reduced rate.

Registration Instructions

Don’t delay—send in your Registration today! A $40 late fee will be charged for all Registrations received after August 14, 2013. Call 785-806-7806 with questions about your Registration.

Payment by Check:

By Mail: Please make check payable to “Senior Support Initiatives, Inc.” and send completed Registration Application and check to: Senior Support Initiatives, Inc. P.O. Box 4566 Topeka, KS 66604-4566 By Electronic ACH Payment on our Secure Website: Select “ACH Payment” on the Registration Application and complete transaction online

Payment by Credit/Debit Card on Secure Website: Select “Credit/Debit Card Payment” on your completed Registration Form and complete transaction online

Registration Confirmation:

You will receive a confirmation by Email. Please contact us if you do not receive confirmation within 2 weeks of sending your Registration Materials. Contact Bob Faught at, or 785-806-7806.

Conference Registration Desk:

Upon arrival, please be sure to stop by the Conference Registration Desk for your Registration Packet. Registration hours are: Wednesday, September 4, 2013 7:00 am—5:00 pm Thursday, September 5, 2013 7:00 am—3:30 pm

Cancellation Policy:

All Registration cancellations must be received in writing. Cancellation requests received prior to August 14, 2013, will be refunded minus a $40 cancellation fee. No cancellation refunds will be issued after August 14, 2013. You may assign a replacement so your Registration will not go unused; please notify as soon as possible on your replacement information.


(with LIMITED ACCESS to Conference) Public FREE ADMISSION allows Public access to: • Exhibit Booths, FREE Health Fair/Health Screening, and select Track 2 Breakout Sessions Student FREE ADMISSION allows Students access to: • All Breakout Sessions (Track 1 and 2)

Conference Hotel & Lodging

Arrangements for lodging must be made separately from the Conference Registration. The deadline for reservations at the block room rate is August 7, 2013. When calling the hotel to make your reservation, mention the special Block Room Rate for the 2013 Kansas Conference on Aging in order to obtain the discounted rate.


Capitol Plaza Hotel & Conference Center 1717 SW Topeka Blvd. Topeka, KS 66612 Phone: 785-431-7200 Ask for the Or 800-579-7937


2013 Kansas Conference on Aging Block Room Rate

The Conference Room Rate Is $89/night plus tax. Be sure to ask for the 2013 Kansas Conference on Aging block room rate.

Online Reservations:

You can make your Hotel Reservations online by using the Hotel's website link found on the Conference Website’s Location page,


Complimentary parking is available.


The Capitol Plaza Hotel and the Kansas Expocentre are located in the heart of Topeka on the southwest corner of Topeka Blvd. and 17th Street, three miles west of I-70, just minutes from Heartland Park Topeka, the world class Topeka Zoo, and downtown.

Conference Attire:

Attire for the Conference is business casual.

Certificate of Attendance:

Will be available upon request at the Conference Registration desk.

2013 Kansas Conference on Aging, September 4 & 5, 2013

Fill Out This Form if Mailing in Check; Otherwise, Fill Out Registration Form & Make Payment Online on Website after Login

2013 Sponsor/Exhibitor/Advertising Application Form

2013 Attendee Registration Form

Public & Student FREE Attendee Registration (Limited Access at Conference) Public Attendees invited with FREE ADMISSION to Exhibit Area to meet with Providers, FREE Health Fair & Screening And Specific Breakout Sessions, Track #2, targeted for Public and Providers! (No Major Presentations, No Meals) Students invited with FREE ADMISSION to all Breakout Sessions (No Major Presentations, No Meals) Please Select: Public Attendee Student; University: ________________________________________________ Please print your name as it should appear on your badge. Name:_ _____________________________________________________________________________________________________ Address: ____________________________________________________________________________________________________ City/State/Zip: ________________________________________________________________________________________________ Phone: _ __________________________________ Email: _ ___________________________________________________________ Emergency Contact Name & Phone (Optional): ______________________________________________________________________ Please Choose as Many as Apply: Senior Caregiver Family Friend Other: _________________________________________________________ I Plan to Attend: Exhibits/Providers Health Fair & Screening Breakout Sessions for Public/Providers Breakout Sessions I Plan to Attend: _______________________________________________________________________________

Professional, Provider, Volunteer, Student & Senior Attendee Registration Information

Please print your name as it should appear on your badge. Name:_ _____________________________________________________________________________________________________ Title:________________________________________________________________________________________________________ Organization: _ _______________________________________________________________________________________________ Address: ____________________________________________________________________________________________________ City/State/Zip: ________________________________________________________________________________________________ Phone: _ __________________________________ Email: _ ___________________________________________________________ Emergency Contact Name & Phone (Optional): ______________________________________________________________________ Special Needs (vegetarian meals, etc.): ____________________________________________________________________________ Please Choose as Many as Apply: Sponsor Presenter Exhibitor Professional Provider Educator/Researcher Aging Network Professional/Health Organization State/Local Government Advocate Volunteer Senior Student

Event & Hotel Attendance Please help us plan for the correct number of seats and meals by completing this information. These events are INCLUDED in the Registration Fee for Attendees only (you can purchase Guest Tickets separately)(Contact Hotel to Make Reservations) I plan to attend: Wednesday Breakfast Wednesday Luncheon Thursday Breakfast Thursday Luncheon I plan on reserving (___) hotel room(s) for the following nights: Tuesday Night Wednesday Night Thursday Night

Registration Fees & Extra Guest Tickets Registration Fees: ________ $175 Full Registration (before August 14, 2013) ________ $100 Full-time Student Registration Name of School: ____________________________ ________ $150 Senior Registration (age 65+) ________ $100 Wednesday, September 4, 2013 (one-day only) ________ $100 Thursday, September 5, 2013 (one-day only) ________ $40 Late Fee (if received after August 14, 2013)

Extra Guest Tickets: Use this section to purchase tickets for GUESTS only. (These Events are included in the Registration Fee for Registrants. ________ $20 ____ Guest Ticket(s) for Wednesday Breakfast ________ $25 ____ Guest Ticket(s) for Wednesday Luncheon ________ $20 ____ Guest Ticket(s) for Thursday Breakfast ________ $25 ____ Guest Ticket(s) for Thursday Luncheon ________ Total for Extra Guest Tickets

________ Total for Registration Fees

________ Total for Registration Fees & Guest Tickets

Method of Payment

Check, By Mail, Include this Registration Form Filled Out (Make Payable to: Senior Support Initiatives, Inc.) Check by ACH Payment (Fill Out Registration Application Online & Make Payment on Event Website:

Credit Card (Fill Out Registration Application Online & Make Payment on Event Website:

For Check By Mail, Send Completed Form & Payment to:

SENIOR SUPPORT INITIATIVES, INC., P.O. Box 4566, Topeka, KS 66604-4566, Mobile: 785-806-7806, Email:

2013 Kansas Conference on Aging, September 4 & 5, 2013













22 41


















































27 10’-0”



28 33



29 30




Registration Registration E





Registration Registration E

2013 Kansas Conference on Aging Maner Convention Center Sunflower Room with Exhibit Tables


“Shining New Light on Senior Living”








01 Exhibitor 02 Exhibitor 03 Exhibitor 04 Exhibitor 05 Exhibitor 06 Exhibitor 07 Exhibitor 08 Exhibitor 09 Exhibitor 10 Exhibitor 11 Exhibitor 12 Exhibitor 13 Exhibitor 14 Exhibitor 15 Exhibitor 16 Exhibitor 17 Exhibitor 18 Exhibitor 19 Exhibitor 20 Exhibitor 21 Exhibitor 22 Exhibitor 23 Exhibitor 24 Exhibitor 25 Exhibitor 26 Exhibitor 27 Exhibitor 28 Exhibitor 29 Exhibitor 30 Exhibitor 31 Exhibitor 32 Exhibitor 33 Exhibitor 34 Exhibitor 35 Exhibitor 36 Exhibitor 37 Exhibitor 38 Exhibitor 39 Exhibitor 40 Exhibitor





May 1 & 2, 2013, Topeka, Kansas Shining New Light on Senior Living

Exhibitors’ Booths Listed in Numerical Order 41 Exhibitor 42 Exhibitor 43 Exhibitor 44 Exhibitor 45 Exhibitor 46 Exhibitor 47 Exhibitor 48 Exhibitor 49 Exhibitor 50 Exhibitor 51 Exhibitor 52 Exhibitor 53 Exhibitor 54 Exhibitor 55 Exhibitor 56 Exhibitor 57 Exhibitor 58 Exhibitor 59 Exhibitor 60 Exhibitor 61 Exhibitor 62 Exhibitor 63 Exhibitor 64 Exhibitor 65 Exhibitor 66 Exhibitor 67 Exhibitor 68 Exhibitor 69 Exhibitor 70 Exhibitor 71 Exhibitor 72 Exhibitor 73 Exhibitor 74 Exhibitor 75 Exhibitor 76 Exhibitor 77 Exhibitor 78 Exhibitor 79 Exhibitor 80 Exhibitor

Legend for Booth Layout in Maner Conference Center



Sponsor Booths with Seating


Exhibitor Booths with Seating Refreshment Stations

1 E

Booth with Power Open Break Seating

Please Note: Pipe & Drape Placed Around Entire Inner Perimeter


Thank You for Participating in the 2013

Kansas Conference on Aging

2014 Kansas Conference on Aging

September 3 & 4, 2014, Topeka, Kansas

Sept 2013 conference attendee registration guide, rev #40  
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