Exit this survey REGISTRATION 6th Annual Meeting of the Treatment Collaborative for Traumatized Youth Monday, May 12th 11:00-5:00 PM Location: Ramkota Hotel • 800 S. Third Street • Bismarck, North Dakota 58504 • Phone: (701) 258-7700 **************************************************************************************************************************************************************************************/B> Question Title Registration for annual meeting I would like to register for the annual meeting (11:00-5:00) Question Title I plan to attend the annual meeting RECEPTION (5:00-7:00 PM) Yes No Question Title Registration for reception only I plan to attend the reception (5:00) but not the meeting ____________________________________________________________________________________________________________________________________________________________________________________ Question Title Contact information Name: Agency/Center: Address: City: State: Zipcode: Phone #: Email: Question Title Special accommodations Done