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Missouri Mental Health Foundation
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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.

Registration Options for Real Voices – Real Choices 2022

Registration Type(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?
Conference T-Shirt
Would you like to add a conference t-shirt to your registration?

Attendee Information

Name(Required)
Address(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, Tan Tar A Resort and Conference Center 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.

Additional Registration Information

Are you attending with a group?(Required)
Will you have a Personal Care Attendant?
Please Indicate Special Accommodations
Please indicate which primary treatment category you identify with

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

    Registration Payment

    Billing Address(Required)

    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.
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    Missouri Mental Health Foundation

    221 Metro Drive, Suite C
    Jefferson City, MO 65109

    (573) 635-9201

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