Home / Upcoming Events / Indiana Council 2024 Summer Quarterly Meeting / 2024 Indiana Council Summer Conference Registration 2024 Indiana Council Summer Conference Registration Please enable JavaScript in your browser to complete this form. This is a BYONB (Bring Your Own Name Badge) Event. The Indiana Council will not have name badges on-site. Please bring your name badge associated with your CMHC/company Name * First Last Title * Email * Phone * Center/Organization * Address * Address Line 1 Address Line 2 City Indiana Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin WyomingState Zip Code Additional Attendee(s) Name First Last Title Email Phone Name First Last Title Email Phone Name First Last Title Email Phone Name First Last Title Email Phone Name First Last Title Email Phone Wednesday, July 17 Committee Meetings: ParkView Field, Lincoln Financial Event Center 1301 Ewing Street, Fort Wayne, IN 46802 Addictions, Adult Services & Employment Services Committee: Please list names of attendees. Chief Financial Officer Committee: Please list names of attendees. Child and Adolescent Committee:Please list names of attendees. Data Analytics Committee:Please list names of attendees. Medical Directors Committee:Please list names of attendees. Quality Improvement (QI) Committee:Please list names of attendees. Racial Equity and Leadership Committee:Please list names of attendees. CCBHC/Mobile Crisis:Please list names of attendees. Thursday, July 18 Member Reception * Attending Not Attending List of attendees. * Friday, July 19 CCBHC Members Only/In-Person Only Business Meeting (virtual conference attendance is no longer available) * Attending Not attending List of attendees. * Fee Level: SPECIAL PRICING DISCOUNT: Register for our October 9-11, 2024 Fall Conference in Bloomington and save (Please note this registration option is non-refundable.) * Member: Early Bird - $230.00 Member: w/in 7 Days - $240.00 Partner: Early Bird - $240.00 Partner: w/in 7 Days - $250.00 Member: Summer and Fall Conference - $450.00 Partner: Summer and Fall Conference - $465.00 If you are not a Partner or CMHC Member, please contact Lee Ann Jordan, Director of Communications and Marketing, ljordan@indianacouncil.org, to learn about our membership opportunities. Disclaimer: Please note we cannot issue a refund for cancellations that are received within 72-hours of the start of the conference. Dietary Restrictions:Please list any dietary restrictions that you have. Register
