OCCDHE FALL 2023 Annual Conference
Leadership: Where We Are & Where We Want To Be

NOVEMBER 7-9, 2023

Early registration through September 16 $350.00
Regular Registration September 17- October 15 $400.00
Late Registration After October 15 $ 450.00
Registration includes programming and meals
Hotel accommodations are booked separately through The Cliffs Hotel and Spa by calling into the hotel to book your room at 805.773.5000. Be sure to mention “OCCDHE” for member rate.

Name*
First Last
License Type*
- LPC
- LCSW
- LMFT
- Psychologist
- Psychiatrist
Pronouns*
License Number*
Position Title*
Center/Department*
Institution*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Fax
Conference Registration & Meals*
Registration fee includes: Conference expenses, programming and four (4) meals (see itinerary for details).
Total
$0.00
Overall Eating Preference*
Dietary restrictions - we will do our best to accommodate dietary needs.
Payment Type*
If paying by check, MAKE YOUR CHECK PAYABLE to OCCDHE and contact Treasurer, Dr. Allison Peters for mailing instructions at apeters@csusm.edu

Credit Card

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