Kevin's Song Conference Registration: Pay by Check

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Reference Number

First Name*

Last Name*

Email*

Phone*

Name of your employer / non profit organization / school or school district*

What is your professional title?*

If you are seeking Continuing Education Credits, please indicate your professional affiliation*

Do you have any dietary restrictions*

Conference on Suicide: Advocacy in Action Registration Options:

There are a number of registration options available for the Advocacy in Action Conference and the School Summit.

Advocacy in Action Conference Registration Options

The 3 Day and 2 Day Ticket options (Tickets A and B) are for the Advocacy in Action Conference program ONLY and do not include the Thursday School Summit program.
Tickets C and D are single day admission for the Advocacy in Action Conference on Thursday or Friday ONLY.
Ticket E is for the Saturday Survivor Program ONLY.
Ticket FS is a 2 Day Ticket for Friday Advocacy in Action Conference and Saturday Survivor Program that can be selected in addition to the 1 Day Thursday School Summit Ticket SS or as a separate, stand-alone purchase.

School Summit Registration Options

The School Summit runs concurrently with the Advocacy in Action Thursday Conference. Some of the Plenary Sessions will be presented jointly to attendees of both the School Summit and the Advocacy in Action Conference.
If you wish to attend the Thursday School Summit ONLY, you should select the 1 Day Thursday School Summit Ticket SS.
If you wish to return on Friday or Saturday, you can add the 1 Day Friday Advocacy in Action Conference Ticket D or the 1 Day Saturday Survivor Program Ticket E by selecting those tickets in addition to the Thursday School Summit ticket.
If you wish to attend the School Summit and both the Friday Advocacy in Action Conference and the Saturday Survivor Program, you may select Ticket FS in addition to the Thursday School Summit Ticket SS.

Advocacy in Action Conference Tickets

Ticket A

3 Day Advocacy in Action Conference (BEST VALUE)
Includes the Thursday and Friday Advocacy in Action Conference and the Saturday Survivor Program

Price: $250.00

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Ticket A: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

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Full Name

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Address

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Email

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Prof Title

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Employer/Organization

Ticket B

2 Day Advocacy in Action Conference
Includes the Thursday and Friday Advocacy in Action Conference

Price: $200.00

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Ticket B: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

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Full Name

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Address

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Email

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Prof Title

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Employer/Organization

Ticket C

1 Day Thursday Advocacy in Action Only Conference

Price: $100.00

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Ticket C: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

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Full Name

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Address

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Email

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Prof Title

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Employer/Organization

Ticket D

1 DAY Friday Advocacy in Action Only Conference

Price: $100.00

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Ticket D: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

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Full Name

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Address

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Email

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Prof Title

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Employer/Organization

Ticket E

1 DAY Saturday Only Survivor Program

Price: $50.00

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Ticket E: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

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Full Name

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Address

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Email

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Prof Title

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Employer/Organization

Ticket FS

2 Day Friday Advocacy in Action Conference and Saturday Survivor Program

Price: $150.00

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Ticket FS: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

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Full Name

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Address

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Email

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Prof Title

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Employer/Organization

Student Rates

Student ID must be presented at registration

Student Ticket 3 Day

Price: $100.00

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Student Ticket 3 Day: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

Student Ticket 2 Day

Price: $75.00

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Student Ticket 2 Day: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

Student Ticket 1 Day

please designate which day: Thursday, Friday, Saturday or School Summit

Price: $35.00

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Student Ticket 1 Day: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

School Summit Tickets

This as an Separate event on Thursday, not part of the main conference

Ticket SS

1 Day Thursday School Summit
If you wish to return on Friday and/or Saturday, you can add the 1 Day Friday Conference and/or the 1 Day Saturday Survivor Program by selecting those tickets above in addition to the 1 Day Thursday School Summit ticket or you may select Ticket FS to add both Friday and Saturday

Price: $100.00

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Ticket SS: Attendee Details

Please enter the Name and Emails of each attendee for this ticket

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Full Name

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Address

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Email

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Prof Title