2026 Indiana Council Spring Conference Registration

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

State

Zip Code

Additional Attendee(s)

Name

First

Last

Title

Email

Phone

Wednesday, May 6 Committee Meetings

CCBHC:

Please list names of attendees.

Clinical Committee:

Please list names of attendees.

Fiscal Committee:

Please list names of attendees.

Mobile Crisis:

Please list names of attendees.

Quality Improvement (QI) Committee:

Please list names of attendees.

Thursday, May 7 Reception

Attending
Not Attending

Friday, May 8 CMHC Member Only Business Meeting

Attending
Not Attending

Fee Level:

Member: Early Bird - $230.00
Member: w/in 7 Days - $240.00
Partner: Early Bird - $230.00
Partner: 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.