Children's Conference Family Application

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The 2023 Oklahoma Children's Behavioral Health Conference will be held May 7th-9th at the Embassy Suites in Norman. Over 700 professionals attend this conference annually. For many years families that have child with a mental health diagnosis have been invited to join this conference and attend sessions free of charge. This is an amazing opportunity for all families across Oklahoma. To ensure that we are selecting families that will value the experience and learning opportunity, we are making this an application process this year. Please don't let this detour you from applying. Please answer all questions to the best of your ability. We will not share your information outside of the agencies involved in supporting your family at the Children's Conference. The information that you provide will help us understand how to support & accommodate your family so that together, we can maximize your experience at this conference.

Email *

Name of Parent or Caregiver: *

Phone Number: *

Mailing Address *

County you live in? *

Do you live 60 miles or more from Norman? *

Yes

Typically only participants living 60 miles or more from the hotel receive a hotel stipend. If you feel you need a hotel room and live less than 60 miles, please share the reason.

Would you like to request a hotel room? (limited number available) *

Please share how many people (adults, kids and ages) will be in the room. List below if you need any room accommodations.

Have you ever attended this conference? *

Yes

Virtually only

If you answered yes, please tell us about your previous experience?

Example: How was it? Did you learn a lot? How did it help you? What could we do better?

If you have Never attended this conference, please tell us your expectations. *

Give us a snapshot of what you hope to gain from attending. What would be your one big wish for this conference, if you could have ANYTHING at this conference what would it be?

Please list Names and ages of all youth/children that will attend the conference with you. *

Sooner Success Kiddie Corral: (Children ages 8-12)

Please list names and ages of children that you wish to attend the Kiddie Corral during the conference.

Childcare/activities provided by Sooner SUCCESS. (Limited space) If there are no spots remaining in the Kiddie Corral and you're selected, would you still be able to attend the conference?

If Kiddie Korral spaces are not available for your child/ren, would you like to apply for a childcare stipend (educational voucher) through Sooner SUCCESS? *

Yes

Youth ages 13-25 *

Youth participate in their own conference. Do you have a youth/young adult that will be attending the youth track?

Yes

Will you attend the dinner provided by the Children's Behavioral Health Network on Wednesday, May 8th? *

All families attending the conference are invited to a family dinner.

Yes

Required

Where do you work? *

If you are a Family Support Provider with a Systems of Care Site, would you be willing to share a room with another FSP of your choice?

Yes

Clear selection

If you are a Systems of Care FSP, have you helped someone apply?

Yes

Clear selection

If you are a Family Support Provider and you helped someone apply, what are their initials?

Please list any additional information we may need to know about your children/youth : *

Please tell us who recommended you for this conference? *

Submit

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