29th Annual Brain INJURY SUMMIT

March 2, 2018 
Cardinal Hill Rehabilitation Hospital
2050 Versailles Road
Lexington, Kentucky 40504

Brain Injury and the Opioid Epidemic

Brain Injury Summit Registration Form

Please complete a registration form for each person attending

Registration Fees

Lunch Included

$125 - Professional and CEU Credit$30 - Survivor/Family Member/Student Rate - Non-CEU

(1) At the door Professional and CEU Credit will be $155 and Survivor/Family Member/Student
Rate - Non-CEU will be $40. (2) Requires proof via student ID. (3)Limited scholarships are available for survivors and family members

Please make checks payable to BIAK (Brain Injury Alliance of Kentucky).
Mail registration and check to:
BIAK:
ATTN: Margaret Millner
7321 New Lagrange Road, Ste 100
Louisville, KY 40222

Do you require Special Needs?

Please check appropriate request(s) below:

Large PrintSign LanguageVegetarianGluten Free

Share This