Innovations in Mental Health Conference Registration. Event held Thursday November 9th 2023 in Grand Rapids, Michigan

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Name* This field is required.This is how your name will appear on your certificate

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number

Please enter a valid phone number.

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What type of Continuing Education Credit are you seeking?

Social Work CEUs

CMEs

I'm not seeking Continuing Education Credit

5

What is your profession?

6

What is your License Number?* This field is required.

7

I understand that the certificate associated with this event is issued based on my timely arrival and full attendance.* This field is required.

YESNO

8

I understand that this event is offering 6 Continuing Education Credits Only and partial attendance will disqualify attendee from achieving the 6 credits. Timely arrival and full attendance required.* This field is required.

YESNO

9

Do you require any accommodations for your attendance?* This field is required.

No

Yes

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What accommodation(s) will you require?

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Do you have any dietary restrictions?

YESNO

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Please share any dietary restrictions for our planning purposes.

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After you click submit you will be taken to the link of the venue where the conference will be held. Also, you will receive a registration confirmation email. On behalf of the planning committee, thank you for registering!

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