2025 Kansas Recovery Conference - Individual Registration "Silver Linings: 25 Years of Finding Hope in the Darkness"

This page is to register as an attendee for the 2025 Kansas Recovery Conference

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* 1. Attendee Information

Name *

Organization

Address *

Address

City/Town *

State *

ZIP *

Email Address

Phone Number *

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* 2. Registration Type (Please select one)

Consumer, Early Bird - $115 / $125 after May 5th

Non-Consumer, Early Bird - $155 / $165 after May 5th

A commemorative t-shirt is NOT included with your registration. T-shirts may be purchased for $15 / each.

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* 3. Yes, I would like to order a commemorative conference t-shirt (Please select the size you will need)

Small - $15

Medium - $15

Large - $15

X-Large - $15

2X - $15

3X - $15

4X - $15

5X - $15

6X - $15

Comments

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* 4. Conference Meals - Please check the meals/dates you will be present for. The cost of meals are included with the conference registration.

Tuesday, June 10th - Lunch

Tuesday, June 10th - Dinner

Wednesday, June 11th - Lunch

None of the Above

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* 5. Food Allergies / Special Dietary Requirements --
please list any additional special requirements you have below (i.e. allergies, vegetarian or vegan meals, etc— please note if the request is due to a food allergy)
The CAC will make every effort to accommodate reasonable special requirements/requests but cannot guarantee accommodations

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* 6. Please mark this box if you will be bringing a service animal to the conference

Yes, I am bringing a service animal to the conference

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* 7. Payment Method

Check

Debit/Credit Card

Money Order

Other (please specify)

Please mail checks and money orders to
Kansas CAC
PO Box 56
Wichita, KS 67201

If you will be paying with a debit or credit card, please click on the following link for the: Kansas CAC Conference payment (a new window will open up in your browser)

Special Accommodations
If you wish to volunteer information regarding any special assistance you may need, please contact Melissa Patrick at (316) 312-3479.

Notice of Nondiscrimination
The Kansas Consumer Advisory Council for Adult Mental Health, Inc. does not discriminate in its programs and activities on the basis of race, religion, color, national origin, gender, age, sexual orientation, marital status, political affiliation, status as a veteran, genetic information or disability. The following person has been designated to handle inquiries regarding nondiscrimination policies: Melissa Patrick, (316) 312.3479.