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National Family Violence Legislative Resource Center

Advocating for non-discriminatory and evidence-based policies
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Conference Registration

If you prefer to register offline, you may skip this page and instead download and print just the PDF document registration form, to register by fax or mail.

Registration Type:

Note:   Groups are defined as 4 or more individuals. Interns include graduate students or pre-license interns in any mental health profession.

Choose Your Breakout Sessions:

Important!

Before choosing your breakout sessions, we recommend that you download the PDF document Conference Brochure (file size: 1 mb), and read the abstracts for each of the plenary and breakout sessions. This will aid in your decision making process.

Click on any of the links in the table below for a pop-up description of each breakout session. Where indicated, select the sessions that you plan to attend.

Friday: 8:45 - 10:15 AM F1
10:30 - Noon F2   F3   F4
12:45 - 2:15 PM F5
2:30 - 4:00 PM F6   F7   F8
4:15 - 5:45 PM F9   F10   F11
Saturday: 8:30 - 10:00 AM S1
10:15 - 11:45 AM S2   S3   S4
12:30 - 1:30 PM S5
1:30 - 3:45 PM S6
4:00 - 5:00 PM S7   S8   S9

Registrant Information:

( * = required information )

* Name:
     
First name
   
Last name
* E-mail:
* Work:
Job Title

Organization

Are you a batterer intervention provider?
No
Yes

Are you an attorney or licensed mental health professional?
No
Yes

License Type and Number

Work Phone
* Address:
Mailing address
  
City

   
State
Postal Code
Country
How Learned: How did you learn about the conference?

Receieved E-mail Notice
Received Brochure in the Mail
From an Associate or Friend
 

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National Family Violence
Legislative Resource Center		 e-mail:
info@nfvlrc.org