Palm Beach County Recovery Summit Registration

Reversing the Effects of the Crack Epidemic: Treating an Illness, Ending a War

📅 September 26–27, 2025 9:00 am - 2:30 pm
📍 Drug Abuse Foundation of Palm Beach County

We invite people in recovery, family members and loved ones, youth and young adults, recovery providers, peer support specialists, healthcare professionals, community and faith leaders, educators, researchers, and advocates to attend and share their voices.

👉 Please complete this form to register. Be sure to fill out Page 2, where your input will help us create a more engaging and meaningful event.

Section 1: General Information (All Attendees)

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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. Organization/ Community Group (if applicable):

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* 5. Which category best describes you or your organization? (Select all that apply):

Family member / loved one impacted by substance use

Youth / young adult

Recovery or treatment provider

Peer support specialist / recovery coach

Mental health or healthcare professional

Criminal justice or reentry professional

Researcher / student / educator

Faith or community leader

Nonprofit or grassroots organization

Government or policy representative

Employer / housing provider / support service

Advocate or ally

Person in recovery

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* 6. How did you hear about the Recovery Summit?

Social Media

Friend / Family

Organization / Church

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* 7. Consent & Acknowledgment:

I understand that photos and videos may be taken at the event for promotional purposes.

I consent to my participation in the Palm Beach County Recovery Summit.