2017 KBA Conference Registration


Hotel Information:

Galt House Hotel, 140 North Fourth Street, Louisville, KY 40202

Hotel reservations MUST be made through the KBA.

Please note that after September 1, a $100.00 registration fee will apply per attendee.


**Please fill out a separate form for each member of your station/company attending.

First Name: 

Last Name: 

Spouse Name (optional): 

Is spouse employed by the station/company?: 

Station / Company Name: 

City of License: 

Phone Number: 


Please list any dietary restrictions: 

Event Reservations: select all that apply

 Monday Belle of Louisville Reception
 Tuesday Chairman's Breakfast
 Tuesday Luncheon
 Tuesday Awards Dinner
 Tuesday Evening Bourbon Tasting
 Tuesday Night After Party

Hotel Reservation Information:
Check in begins at 3 p.m. on 10/9 or 10/10. Reservations must be made by the KBA.

Check In Date:
No Room Needed October 9 October 10

Check Out Date:
No Room Needed October 10 October 11

 By checking this box, you acknowledge that registrations submitted after September 1, 2017 will cost $100 per person.