Home / Upcoming Events / 2023 Indiana Council Fall Conference Registration 2023 Indiana Council Fall 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 Committee Meetings: Wednesday, October 4, 3:00 - 5:00 PM Addictions, Adult Services & Employment Services Committee: Names of attendeesPlease list members who are attending the meeting, separated by commas. Chief Financial Officer Committee: Names of attendeesPlease list members who are attending the meeting, separated by commas. Child and Adolescent Committee: Names of attendeesPlease list members who are attending the meeting, separated by commas. Data Analytics Committee: Names of attendeesPlease list members who are attending the meeting, separated by commas. Thursday Evening Reception: Names of attendees *Please list members who are attending the meeting, separated by commas. Human Resources Committee: Names of attendeesPlease list members who are attending the meeting, separated by commas. Quality Improvement (QI) Committee: Names of attendeesPlease list members who are attending the meeting, separated by commas. Racial Equity and Leadership Committee: Names of attendeesPlease list members who are attending the meeting, separated by commas. CCBHC/Mobile Crisis: Names of attendeesPlease list members who are attending the meeting, separated by commas. Friday Business Meeting: Names of attendees *Please list members who are attending the meeting, separated by commas. Fee Level: * Member: Early Bird - $200.00 Member: w/in 7 Days - $210.00 Partner: Early Bird - $210.00 Partner: w/in 7 Days - $220.00 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. Register
