Thank you for your interest in attending the 2021 Domestic Violence and Elder Abuse Awareness Conference. Please complete all pages of the survey.

This year's conference will be offered in-person and virtually.

For those registering to attend in-person the conference will be held at:

Ramada Hotel & Conference Center
624 James S. Trimble Blvd.
Paintsville, KY 41240

Question Title

* 1. Your contact info:

Question Title

* 2. How will you be participating in this year's conference?