Mental Health KC Conference 2017 - Waiting List Registration Form

NOTE: The conference is currently full. However, you may complete the following form to be placed on the waiting list.

Date: May 4, 2017

Time: Registration from 7:30am to 8:30am | Conference 8:45am to 4:30pm

Address:
Cerner Corporation World Headquarters
2800 Rockcreek Pkwy (off Walker Rd)
Kansas City, MO 64117

Info: Sessions and Speakers

Waiting List Registration Info:

What sector do you work in?
Do you have any dietary restrictions? Please describe above.
Have you ever attended a Mental Health First Aid Training?
10:00 AM Session
Which Break-Out Session would you like to attend at 10:00 AM? Please select your first choice and backup choice.
Please select your 1st choice. *
Please select your 2nd choice. *
11:15 AM Session
Which Break-Out Session would you like to attend at 11:15 AM? Please select your first choice and backup choice.
Please select your 1st choice. *
Please select your 2nd choice. *
1:45 PM Session
Which Break-Out Session would you like to attend at 1:45 PM? Please select your first choice and backup choice.
Please select your 1st choice. *
Please select your 2nd choice. *
3:00 PM Session
Which Break-Out Session would you like to attend at 3:00 PM? Please select your first choice and backup choice.
Please select your 1st choice. *
Please select your 2nd choice. *

For more info, contact:
Beth Yoder Stein
Administrative Assistant/MHFA & YMHFA Instructor and Coordinator
Wyandot Center
(913) 328-4633
yoderstein_b@WMHCI.org