Register Online 2024 Conference Registration Step 1 of 4 25% This field is hidden when viewing the formNext Steps: Install a Payment Add-OnTo accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.Contact DetailsName(Required) First Last Email(Required) Enter Email Confirm Email OrganizationTitle/PositionPhone(Required)Address Street Address City State Zip Code The conference site is primarily Americans with Disabilities Act accessible. Please list special needs for accommodations: Event DetailsThis field is hidden when viewing the formEarly Bird Passes (Before June 1st)(Required)One Day ($200)Two Days ($225)Two Days FT Student ($112.50)One Day FT Student ($100)Speaker/board member/free guest ($0)Tickets After June 1stPlease SelectTwo Days ($250)Two Days FT Student ($125)One Day ($225)One Day FT Student ($112.50)Speaker/board member/free guest ($0)Which day will you be attending?(Required) Wednesday, June 5th Thursday, June 6th MealsLunch, Wednesday, June 5th(Required) I will not be able to attend I will attend and eat provided lunch Lunch, Thursday, June 6th(Required) I will not be able to attend I will attend and eat provided lunch Breakout Session PreferencesAs a courtesy to our conference presenters, participants will be expected to attend the session for which they pre-registered. Participants will receive a copy of their final conference itinerary upon registration check-in.Breakout Session I (Wednesday Morning) 1) Youth Suicide Prevention-SD DSS Vanessa Barnes, Rachael Majeres 2) Heart and Soul: Essential Life Mission, Linda Seger 3) Palliative Care: Nuts, Bolts, and Transforming Care of the Seriously Ill, Katie Huff 4) Behavioral Health Crisis Care, Madeline Miller 5) Emotional Poverty and Emotions-Bethany TuckerBreakout I First Preference(Required)Please select12345Breakout I Second Preference(Required)Please Select12345Breakout Session II (Wednesday Afternoon) 6) Emotional Poverty Adult Stress, Compassion Fatigue- Bethany Tucker 7) Security Threat Groups- Edward Loew 8) Crisis Now Panel, SD DSS -Vanessa Barnes 9) Taking Emotion out of Mental Health Disabilities-Vicki Stewart 10) Eating Disorders 101-Dr. Dawn LarsonBreakout II First Preference(Required)Please select678910Breakout II Second Preference(Required)Please Select678910Breakout Session III (Thursday Morning) 11) How Teens are Finding Connection in a Disconnected World-Yankton High School Bring Change to Mind Group 12) ADHD: What is it and How to Support Those who have it-Alex R. Hey 13) Poetry as Therapy: Writing for Emotional Wellbeing- Keley Smith Keller 14) Understanding the Emotional Effects of Residential Burglary, A Case Approach, Axton Betz Hamilton 15) Embracing the Imperfect Best Nature of Problem Solving-Jason FreemanBreakout III First Preference(Required)Please select1112131415Breakout III Second Preference(Required)Please select1112131415Breakout Session IV (Thursday Afternoon) 16) Guiding Youth through Survival Behavior and Into New Possibilities-Abbott House Ron Thorsen, Faith Henning 17) Gender Non-Conforming Issues within Department of Corrections-Meredith Rife 18) All Learning is Social and Emotional- Debbi McCuin 19) The Healing Power of Light-Heather Swanson 20) Let’s Talk about OCD-Chrissy HodgesBreakout III First Preference(Required)Please select1617181920Breakout III Second Preference(Required)Please select1617181920 Consent & PaymentWaiver of Liability(Required) I hereby acknowledge that I understand that participation in any portion of the Yankton Area Mental Wellness, Inc. (YAMWI) Conference is purely voluntary. The undersigned hereby releases YAMWI, the YAMWI Board of Directors, the conference venue, their successors, assigns, officers, agents, employees, and volunteers from any and all claims, demands, and causes of action whatsoever in any way growing out of or resulting from my participation in the conference activities.Accommodation Statement If you have a disability and need an accommodation to attend this event, please contact Nancy Teachout, YAMWI Executive Director, at least 2 weeks prior to the event. Email: yamwi.org@gmail.com. If you have questions, please call 605-665-4606 and ask for Nancy Teachout. Total How would you like to pay?(Required) Via Credit Card Via Check I need an invoice Credit Card(Required)
