Home / Upcoming Events / Indiana Council 2024 Summer Quarterly Meeting / 2024 Indiana Council Summer Conference Registration2024 Indiana Council Summer 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, July 17 Committee Meetings: ParkView Field, Lincoln Financial Event Center 1301 Ewing Street, Fort Wayne, IN 46802 Addictions, 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, July 18 Member Reception *AttendingNot AttendingList of attendees. *Friday, July 19 CCBHC Members Only/In-Person Only Business Meeting (virtual conference attendance is no longer available) *AttendingNot attendingList of attendees. *Fee Level: SPECIAL PRICING DISCOUNT: Register for our October 9-11, 2024 Fall Conference in Bloomington and save (Please note this registration option is non-refundable.) *Member: Early Bird - $230.00Member: w/in 7 Days - $240.00Partner: Early Bird - $240.00Partner: w/in 7 Days - $250.00Member: Summer and Fall Conference - $450.00Partner: Summer and Fall Conference - $465.00 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
