If you are in Crisis- Call, Text, or Chat 988



ksheek@dccca.org



913.222.8463



1739 E 23rd Street Lawrence KS

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Kansas Suicide Prevention Annual Meeting

Countdown!

Day(s)

Hour(s)

Minute(s)

Second(s)

Reaching New Heights: Navigating the Stars of Hope in Suicide Prevention

Cosmosphere in Hutchinson, KS

1100 N Plum St, Hutchinson, KS 67501

Additional information to come!

Annual Meeting Registration

Name(Required)

First Last

Email(Required)

County(Required)

Dietary Restriction(Required)

None

Gluten Free

Vegetarian

Vegan

Other

Other Dietary Restriciton(Required)

Please specify

Are you a member of the KSPC?(Required)

Yes

Scholarship Questions

Will the expenses of your travel and lodging to the KSPC Annual meeting be covered by a non-profit or corporation?(Required)

Yes

Unsure

Scholarships for mileage reimbursement are available to individuals and licensed professional members who's travel is not covered by a non-profit or corporation who travel over 200 miles.

Would you like to request a scholarship to cover travel and lodging expenses?(Required)

Yes

What address will you be traveling from to attend the meeting?(Required)

Street Address Address Line 2 City State

Are you booking a room in the Four Points by Sheraton block?(Required)

Yes

Hidden

Section Break

Are you traveling over 250 miles to the meeting and would like to request a scholarship to cover travel and lodging expenses?(Required)

Yes

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If you are in crisis call 988

Contact Us

Name

Email Address

Message



ksheek@dccca.org



913.222.8463

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