Home / Upcoming Events / Indiana Council 2024 Spring Quarterly Meeting / 2024 Indiana Council Spring Conference Registration2024 Indiana Council Spring Conference Registration Please enable JavaScript in your browser to complete this form.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 *FirstLastTitle *Email *Phone *Center/Organization *Address *Address Line 1Address Line 2CityIndianaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAdditional Attendee(s)NameFirstLastTitleEmailPhoneNameFirstLastTitleEmailPhoneNameFirstLastTitleEmailPhoneNameFirstLastTitleEmailPhoneNameFirstLastTitleEmailPhoneWednesday, May 1 committee meetings: 3PM - 5PM, Embassy Suites PlainfieldAddictions, 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, May 2 reception RSVP *AttendingNot AttendingCheck here if attending the Education portion ONLYList of attendees. *Friday, May 3 CMHC Member Only Business Meeting *Attending - In person. If you change your registration for the Business Meeting from in-person to virtual within 7-days, you will be charged $100Attending - VirtualNot AttendingList of attendees. *Fee Level: *Member: Early Bird - $230.00Member: w/in 7 Days - $240.00Partner: Early Bird - $230.00Partner: w/in 7 Days - $240.00 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
