Conference Registration

This exciting event will allow you to learn and network with other professionals who are involved with Kentucky’s assisted living senior housing industry. Please complete this registration form to confirm your participation.


  • Accepted file types: jpg, png, pdf, eps.
  • Will you be earning Contact Hours (for nurses) or Continuing Education Units (for all others) by participating in our Education Sessions? If so, which one?
  • Each registrant may select up to four Education Sessions, one at each hour. For example, select either #1A or #1B, but not both.
  • Please check all that apply. For example, if you're registering two people, click the boxes for First Registrant and Second Registrant.
  • $0.00
    Upon receipt of your Registration, KSLA will invoice your company for the total amount due. Please remit payment via check or credit card. Visit our website,, to download a credit card payment form.