Register for Real Voices–Real Choices - Missouri Mental Health Foundation

Register for Real Voices – Real Choices

The Real Voices – Real Choices Conference will be held on August 28 – 30, 2022 at Margaritaville Resort in Osage Beach, Missouri.

Register for the conference below using our digital registration system and pay via credit card. If you are registering a Group, please use this special Group Registration form. If you’d prefer to use a printed registration form, please use this PDF (440 kb).

Please note, registration closes on August 10th.

Registration Options for Real Voices – Real Choices 2022

Registration Type(Required)

Single Registration $100.00 – Consumer, Self-Advocate, Person in Recovery, or Family Member. This cost includes your hotel room for Sunday and Monday evening, all conference materials, all conference activities and 4 planned meals including dinner on Sunday evening, breakfast and lunch on Monday and breakfast on Tuesday.

Double Registration $180.00 total, $90.00 per person – Consumer, Self-Advocate, Person in Recovery, or Family Member. This cost includes ONE SLEEPING ROOM TO SHARE for two nights, all conference materials, activities and 4 planned meals including dinner on Sunday evening, breakfast and lunch on Monday and breakfast on Tuesday for TWO PEOPLE.

Professional Registration $160.00 – This cost includes all conference materials, all conference activities and 4 planned meals including dinner on Sunday evening, breakfast and lunch on Monday and breakfast on Tuesday. You are responsible for making your lodging arrangements with Margaritaville Lake Resort. Mention the conference to get a rate of $96 per night (or current federal per diem rate).

Scholarship Rate (Free with Coupon) – If you have received a RVRC Scholarship, please select this option.

Name of Roommate (if applicable)(Required)

Please note, your Roommate will also need to submit this registration form so we have their information.

Monday Night Dinner

Would you like to add a meal on Monday night to your registration?

Yes, I'd like to add a Monday Night Dinner

Monday Night Dinner(Required)

Would you like to add a meal on Monday night to your registration?

Yes

Would you like to earn continuing education units (CEUs)?(Required)

Yes ($25)

Earn up to six CEUs by attending RVRC sessions.

Conference T-Shirt(Required)

Would you like to add a conference t-shirt to your registration?

Total Registration Amount

Enter Your Scholarship Coupon Code

Your special Coupon Code will remove the registration cost. You are still responsible for payment if you choose a t-shirt or Monday meal.

Attendee Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone

Email(Required)

Conference Agreement(Required)

You must agree to these terms for your registration to be complete.

General Terms
To the fullest extent permitted by law, I/we indemnify and hold harmless, the Missouri Department of Mental Health, Missouri Mental Health Foundation, Margaritaville Lake Resort and their directors, officers, consultants, agents, employees and volunteers from and against all claims, damages, losses and expenses, including but not limited to attorney's fees and court costs, arising out of or resulting from my participation in this event, including damage, loss or expense is attributable to bodily injury, sickness, disease or death, or personal injury, or to injury to or destruction of tangible property or to others involved in the event.

Event Photography
I agree to the production of photographs, recordings, videotapes, or other multimedia projects developed by the Missouri Department of Mental Health and/or, the Missouri Mental Health Foundation, which may include being photographed, recorded, videotaped, or otherwise depicted in such multimedia information. I’ve been informed that these multimedia projects are being developed to provide an opportunity to educate and inform people about the activities of the Missouri Department of Mental Health and/or the Missouri Mental Health Foundation. I authorize the Missouri Department of Mental Health and/or the Missouri Mental Health Foundation to use any and all of the multimedia information in which I appear and/or are heard without limitation. I acknowledge that the Missouri Department of Mental Health and/or the Missouri Mental Health Foundation will be for all purposes the owner of all rights to the media in which I appear and/or am heard. I agree to hold harmless the Missouri Department of Mental Health, and/or the Missouri Mental Health Foundation, and all their agencies, affiliates, employees, volunteers, agents, successors and/or assigns, against any liability, loss or damage, including attorney’s fees, caused by or arising from my appearance in any photograph, record, videotape, or other multimedia information.

I acknowledge that I have not given any other person or organization the exclusive right to use my photograph or any other information about me.

I agree to the Conference Agreement and submit my digital signature.

Additional Registration Information

Are you attending with a group?(Required)

Yes

Group Name(Required)

Name of Group Contact(Required)

Group Contact Phone Number(Required)

Will you have a Personal Care Attendant?

Yes

Will your Personal Care Attendant need dinner Monday night?(Required)

Yes

Name of Personal Care Attendant

Please Indicate Special Accommodations

Wheelchair Accessibility

Braille

Large Print Materials

ASL Interpreter

Special Diet

Please indicate any Dietary Needs(Required)

Please list any other accessibility needs

Please indicate which primary treatment category you identify with

Developmental Disability

Mental Illness

Substance Use Disorder

How many years have you attended the RVRC conference?

Medical Information

NURSE’S STATION – ON-SITE FIRST AID

Basic First Aid and Assessment, WITHOUT MEDICATION ASSISTANCE, will be available during conference hours. The Basic First Aid area will not provide over-the-counter medications such as Tylenol, Ibuprofen, topical creams, etc. You will be responsible for these needs.

◦ If medical and assistive devices are needed, you are expected to bring them to the conference (for example wheelchair, walker, etc.)

◦ Urinary Incontinence Supplies – If you have problems with wetting the bed, you will need to bring a waterproof mattress pad.

◦ If needed, you are expected to have a caretaker assist you with your needs while attending the conference (for example transfers).

Emergency Contact Name

First Last

Emergency Contact Phone

Emergency Contact Alternate Phone

Registration Payment

Total Registration Cost

Credit Card(Required)

Card Details

Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Ready to submit your information? Please click the Submit button below only once. You will see a confirmation page once your registration is processed and an email will be sent to the email entered above.

Registration will appear on your credit card statement as MMHF / Stripe.