CSBD Hope for Healing Conference Registration

CSBD Hope For Healing Conference Registration Form

Please complete this form to attend our pioneering CSBD Awareness Conference in Nashville, TN from June 26-28th 2025
Attendee Name*

First NameLast Name
Business Name (if applicable)
Attendee Email*

Confirmation Emailexample@example.com
Attendee Mobile Phone Number*
Please enter a valid phone number.
Attendee Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?*
I am attending as a (please select all that apply)

CSBD Mental Health Professional (certified CSAT, CCPS, etc)Non-CSBD Mental Health ProfessionalIndividual Struggling with CSBDPartner of individual struggling with CSBDAdvocate for CSBD SupportPrefer not to sayOther
What do you hope to get out of the CSBD Hope For Healing Conference?*
Registration

We are a 501(c)(3) and your participation at the CSBD Hope For Healing Conference enables us help individuals seeking mental healthcare treatment and create awareness about CSBD. Thank you for your support of this pioneering event!
*Hotel Packages Coming Soon*

Conference registration*

Attendee Conference RegistrationAdmission for the conference and exhibition. Get ready for an amazing experience!

$650.00 Quantity

DonationSupport our scholarship program through your generoussupport. A donation of $100 or more will give you VIP access and seating, plus you can help someone get access to the mental healthcare they need!

$25.00

Enter coupon

Payment Methods

Please click one of the PayPal options to complete payment and submit the form.
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CSBD Hope For Healing Conference Registration Form

Registration