DATE: Friday, April 25, 2014

LOCATION: Owensboro Health Regional Hospital Conference Center
1201 Pleasant Valley Road, Owensboro, KY 42303

COST: $40.00* (6 CEU's available)

* Special Discount for Students Available - please contact Pat (see info below) for details

TIMES: (All times are CST)
Registration - 8:00 - 9:00 a.m. (Light breakfast items will be available)
Conference begins at 9:00 a.m. and will wrap up @4:30 p.m.
There will be a lunch break between Noon - 1pm.
- You may choose to eat at the hospital cafeteria or go off-site.

Please complete the registration information below and then click the "DONE" button to submit. If for any reason you are unable to attend after registering OR if you have any questions, please contact:

Pat Andrews - andrews-pat@rvbh.com or (270) 689-6563

1. You will receive confirmation of your registration via e-mail.

2. In order to speed up the check-in process on the day of the conference, we ask that you mail in your payment prior to the event. We will either have receipts at check-in or send an electronic copy of your receipt as soon as payment is received.

3. Please make your check out to: ORSPC (Owensboro Regional Suicide Prevention Coalition) in the amount of $40.00 and mail to:

Owensboro Regional Suicide Coalition
ATTN: Pat Andrews, RiverValley Regional Prevention Center
P.O. Box 1637
Owensboro, KY 42302-1637

We look forward to welcoming you to our 2014 ORSPC Spring Conference.

Question Title

* 1. Name:

Question Title

* 2. Position/Title/Agency:

Question Title

* 3. E-mail Address:

Question Title

* 4. Contact/Cell Phone #:

T