Arcade & Social Night

TCDS Member Dentists: $10/pp

Non-Members / Staff / Guests: $15

See you at the TCDS sign-in table!

Fill out the form below to register!

Arcade & Social Night 2025

I am a: (Select from the drop down menu below. If you're registering under your employer, please select TCDS Member Dentist.)

Name(Required)

First Last

CA Dental License #(Required)

Phone(Required)

Email(Required)

Enter Email Confirm Email

Total number of TCDS Member Dentists Attending: ($10 each.) Pls. include yourself to the total. If you're not attending, please enter 0. (Required)

Price: $10.00

Total Number of Guests, Staff, or Non-Member Dentists Attending: ($15 each) Enter 0 if you have no guests/staff attending. (Required)

Price: $15.00

Total

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name