2025 Spring Conference Registration Please enable JavaScript in your browser to complete this form.Please select the day(s) you plan to attend: *April 15, 2025 - KYHN Workshop ($50)April 16, 2025 - Youth Mental Health First Aid Workshop ($40)Both April 15th and April 16th - ($90)Name *FirstLastTitle/Position *Organization or Agency *School District (if applicable)Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *If you need CE Credits/CEUs, please indicate which type (these will be provided, pending approval)NursingCHESFRYSCEILASocial WorkOtherSpecify "Other"If you need nursing CE Credit or CHES CEUs, please provide your identification number or licensure numberPlease select your sandwich option for a box lunch on April 15th *TurkeyHamClubVegetarianPlease select your sandwich option for a box lunch on April 16th *Turkey and Cheddar SandwichVeggie SandwichCrispy Southwest Chicken WrapChicken Salad ScoopPlease list any accommodationsHow did you hear about the workshop? *Direct EmailColleagueFacebookFRYSC Regional Program ManagerKYHN WebsiteFRYSC WebsiteOtherSpecify "Other"Payment Method *Credit Card (preferred) - $50.00Check - Mail to KYHN PO BOX 11072, Lexington, KY 40512 - $50.00Purchase Order - Email PO to kyyouthhealth@gmail.com - $50.00Exhibitor - $0.00April 15, 2025 - KYHN Workshop ($50)Payment Method *Credit Card (preferred) - $40.00Check - Mail to KYHN PO BOX 11072, Lexington, KY 40512 - $40.00Purchase Order - Email PO to kyyouthhealth@gmail.com - $40.00Exhibitor - $0.00April 16, 2025 - Youth Mental Health First Aid Workshop ($40)Payment Method *Credit Card (preferred) - $90.00Check - Mail to KYHN PO BOX 11072, Lexington, KY 40512 - $90.00Purchase Order - Email PO to kyyouthhealth@gmail.com - $90.00Exhibitor - $0.00Both April 15th and April 16th - ($90)Event Registration$0.00Credit CardSubmit
Featured Featured April 15 @ 8:00 am - April 16 @ 5:00 pm Kentucky Youth Health Network Spring 2025 Conference