Home / Upcoming Events / Indiana Council 2024 Fall Quarterly Meeting / 2024 Indiana Council Fall Conference Registration2024 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 *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, October 9, 3-5PM, Indiana Memorial UnionAddictions, 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.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.Human ResourcesPlease list names of attendees.Thursday, October 10 reception RSVP *AttendingNot AttendingCheck here if attending the Education portion ONLYList of attendees. *Friday, October 11 CMHC Member Only Business Meeting *AttendingNot AttendingList of attendees. *Fee Level: *Member: Early Bird - $280.00Member: w/in 7 Days - $290.00Non-CMHC Member: Early Bird - $290.00Non-CMHC Member: w/in 7 Days - $300.00Thursday/Friday Virtual (if you switch from in-person to virtual within 7-days, you will be charged an extra $100) - $300.00Key Collaborators - $350.00 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 include the name of attendee and restrictionRegister
