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ADHD

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ADHD

CONCURRENT SESSION TRACKS• Mental Health/Medical Practitioners• Educators/Parents• Clinicians / Rehabilitation Specialists

PROFESSIONAL APPROVALS AND SPEAKERSVisit adhd.ua.edu for current information!

QUESTIONS? Contact Sea Talantis at 205-348-3014 or email [email protected].

ABOUT THE PROGRAM The University of Alabama, together with a statewide advisory committee, presents the 10th Annual Southeast Regional ADHD Conference January 26-27 in Tuscaloosa, Alabama. The conference will bring together a multi-disciplinary group of experts to share their research and interventions on ADHD.

WHO SHOULD ATTEND? Educators, counselors, parents, adults with ADHD, mental health professionals and medical professionals, as well as DHR workers, social workers, school nurses, disability ministries and home school providers. Likewise, anyone involved in the assessment, treatment, and rehabilitation efforts of children and adults with ADHD will benefit from attending.

January 26-27, 2018 · Bryant Conference Center240 Paul W. Bryant Drive, Tuscaloosa, ALProgram#: 03-516-18

APPLICABLE FEES[ ] $249 Standard Rate

[ ] $199 Early Bird Discount (must postmark by 12/21/17)

[ ] $179 Three or More From Same Organization (must register at the same time)

[ ] $125 Student Rate Institution: Graduation Date:

A certificate verifying attendance and contact hours will be issued to all participants. Note: The University of Alabama is committed to complying with the Americans with Disabilities Act. Requests for accommodation of physical and/or dietary needs should be made at least 30 calendar days in advance of the program date. Please email your request to [email protected]. A portion of the invoice amount for this program will go to the Capstone Lifelong Learning Foundation to support activities of The University of Alabama and the College of Continuing Studies. Need our STAARS Vendor Number? Please use VC000118827 for UA College of Continuing Studies.

Visit our website at adhd.ua.edu for updates and for information on becoming a sponsor or exhibitor!

REGISTRATION OPTIONSREGISTER ONLINE REGISTER BY PHONE REGISTER BY MAILadhd.ua.edu 205-348-3000 Registration Services, 866-432-2015 The University of Alabama Box 870398, Tuscaloosa, AL 35487

First: Middle Initial:

Last: (Mr.) (Ms.) (Dr.)

Preferred Name / Nickname:

Company/Organization Name:

Mailing Address:

City: State: Zip:

Email Address:

Phone:

Job Title:

[ ] Enclosed is a check for $ made payable to THE UNIVERSITY OF ALABAMA

[ ] Charge $ to credit card: [ ] MasterCard [ ] VISA [ ] American Express [ ] Discover

Card # Exp. Date /

Security / Verification / CVV Code (Three or four digit code on back or front of credit card.)

Authorizing Signature:

ADHD