BHS Attendee Registration Form

2nd Annual Behavioral Health Summit: Ethics in Action

Attendee Registration
Thank you for registering to attend the 2nd Annual Behavioral Health Summit!

We look forward to having you join us for this important event.

Please complete the form below to confirm your attendance.
Full Name
Preferred Name if different
Title (if applicable)
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Mailing Address
Organization/Institution (if applicable)
Professional Role/Title (if applicable)
Which type of attendence are you registering for?
HUGS HEADS-UP GUIDANCE SERVICES
License Type(s) (if applicable):

Other
Payment Method: Square Invoice Attendee Agreement & Signature By signing below, you acknowledge that you will comply with the event's rules and policies. You understand that the summit organizers are not responsible for any lost, stolen, or damaged personal property during the event.

CE Full Day Registration

$160.00 Quantity

Non CE/ Student Full Day Registration

$75.00 Quantity

HUGS Intern, Post Grad or Supervisor

Free Quantity

Total

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

2nd Annual Behavioral Health Summit: Ethics in Action