2023 Indiana Council Spring Conference Registration - Indiana Council of Community Mental Health Centers (Indiana Council)

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

Phone

Center/Organization

Address

Address Line 1

Address Line 2

City

State

Zip Code

Additional Attendee(s)

Name

First

Last

Title

Phone

Name

First

Last

Title

Phone

Name

First

Last

Title

Phone

Name

First

Last

Title

Phone

Name

First

Last

Title

Phone

Wednesday, May 10 Committee Meetings

Addictions, Adult Services & Employment Services Committee:

How many are attending?

Chief Financial Officer Committee:

How many are attending?

Child and Adolescent Committee:

How many are attending?

Data Analytics Committee:

How many are attending?

Medical Directors Committee:

How many are attending?

Quality Improvement (QI) Committee:

How many are attending?

Racial Equity and Leadership Committee:

How many are attending?

CCBHC/Mobile Crisis:

How many are attending?

Thursday, May 11 Reception

Attending
Not Attending

Friday, May 12 Business Meeting

Attending
Not Attending

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.