Clone of Advanced Clinician Training & Mountain State Summit Registration 3/30-4/1/2025

Registration for the Annual Advanced Network Clinician Training & Mountain State Summit

March 15 - March 17, 2026 | Charleston, WV
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
If you have any dietary restrictions or accessibility needs, please list below. If none, type N/A. *
Please choose one. I am a*

Network ClinicianPeer Support SpecialistPGHN/FCS StaffOther
Network Clinicians - Please register for the Annual Advanced Network Clinician Training, and/or Mountain State Summit on Gambling Addiction.

Network Peer Support Specialists - Please register for both the Annual Advanced Network Clinician Training and Mountain State Summit on Gambling Addiction.
I will be attending (check all that apply)*

Annual Advanced Network Clinician Training, Sunday March 15 onlyAnnual Advanced Network Clinician Training, Monday March 16 onlyBoth days of Annual Advanced Network Clinician Training (March 15 & 16)Mountain State Summit on Gambling Addiction, Tuesday March 17I will attend the dinner on Monday, March 16 (location TBA)
If you need lodging for the training, please select the day(s) needed. Room reservation deadline is March 4, 2026.*

Sunday, March 15 onlyMonday, March 16 onlyBoth Sunday and MondayI do not need lodging
For CEU certificates, which board(s) do you report to? (check all that apply)*

WV - Certification Board for Addiction & Prevention ProfessionalsWV - Social WorkWV - Examiners in CounselingInternational Problem Gambling & Gaming Certification (IPGGC)No CEU needed
Venue for the Advanced Network Clinician Training and Mountain State Summit on Gambling Addiction is the Holiday Inn & Suites Charleston West by IHG (400 2nd Ave, Charleston, WV 25303). The meeting room will be on the first floor.

Lodging will be at the Holiday Inn & Suites Charleston West by IHG (400 2nd Ave, Charleston, WV 25303).

**Lodging reservation deadline is March 4, 2026**

If you have any questions, please contact

Kriston Vanhorn at (304) 410-2971, kvanhorn@firstchoiceservices.org

or

Maricel Bernardo at (304) 590-8060, mbernardo@firstchoiceservices.org

Make it a great day!
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Registration for the Annual Advanced Network Clinician Training & Mountain State Summit