Law & Mental Health Conference Registration Form

Law & Mental Health Conference Registration Form

Online July 19 & 20 of 2021
The 2021 Law & Mental Health Conference will be virtual and online beginning July 19 & 20.

The subject of the 2021 Conference is Reducing the Impact of Alcohol on State and Local Governments.

A recording of the full two-day Conference will be available for registered attendees to review online for 30 days.

Up to ten hours of CEU and CLE credits are available for registered attendees.

If you want to register multiple people for the Conference, consider letting us register them for you. You'll save the transaction fee. Send the names and their email addresses to liv@lawconferences.org and we'll send you an invoice for payment.

If you don't have access to a credit card we can also make an invoice for you to pay by check.

The Conference provides partial scholarships for full-time students and people with lived experience of mental illness, addiction, or alcoholism. Partial scholarships have full access and come a continuing education credit option.

In July you will receive login information via email. You will not be able to attend if you do not receive and read these messages.

A full program will be available on the Conference website April 15.

The Conference welcomes people with disabilities. For questions about accessibility or to request an accommodation, please contact the conference coordinator. Requests must be made at least 14 days prior to the event.

Law & Mental Health Conference Registration Form

July 19 & 20, 2021
Full Name of Attendee *

Prefix First Name Middle Name Last Name Suffix
Name of Organization *
Attendee Email *
example@example.com
Attendee Phone Number *

Area Code Phone Number
Alternate Email
example@example.com
Attendee Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Apply Continuing Education Credit through *

National Association of Social Workers - Oregon (recognized nationally) Department of Public Safety Standards and Training (LEO) Mental Health and Addiction Certification Board of Oregon Oregon State Bar Association No CEU or CLE credit
Special Requests or Accommodations

My Products

General Registration $ 75.00

Available April 1 until July 1.

Partial Scholarship $ 25.00

Honor System - for people with lived experience of mental illness or in open recovery from addiction, or who are full-time students.

Total $ 0.00

Credit Card Details
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Credit Card Number	Security Code
Card Expiration

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