The Challenge of Change - National Association of Addiction

“The Challenge of Change”
The Future of Addiction Treatment
May 18-21, 2013
NAATP Preconference
Adolescent/ Young Adult Summit
MAY 17, 2013
5.5 Precon Hrs.
10.25 Conference Hrs.
La Cantera Resort
San Antonio, Texas
Presented by the National Association of Addiction Treatment Providers
Presorted
First Class Mail
US Postage
PAID
Lancaster, PA
Permit 12
313 W Liberty Street, Suite 129
Lancaster, PA 17603
FRIDAY, MAY 17
Preconference 5.5 Hours
NAATP Members $199
Non-Members $225
NAATP Preconference
Adolescent/ Young Adult Summit
8:00 - 8:30
8:30 – 10:00
Breakfast
Sponsored by Capstone Treatment Center and Turning Point Extended Care Sober Living
John Kelly, Ph.D. - “Social Recovery Model: Adolescent and young adult recovery outcomes in relation to 12-step mutual-help participation”
Relapse following treatment is common, yet participation in professionally-delivered continuing care and recovery focused mutual-help
organizations, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) have been shown to reduce relapse rates. While
young people have also been shown to benefit from 12-step mutual-help participation they face additional barriers to engagement
compared to adults. This talk reviews the evidence regarding the clinical utility of 12-step mutual-help resources for young people
and discusses clinical recommendations to facilitate their use.
10:00- 10:15 Coffee Break
Sponsored by Northbound Treatment Services
10:15- 11:15 “THE NETWORK...Rewiring the Young Adult Brain to Achieve Mental Health”, presented by M. David Lewis MD, FSAM – Medical Director/Psychiatrist, Visions Treatment Centers
In the wake of the tragedy in Connecticut, it is imperative that we better understand young adult mental health. The Medical
Director of Visions Treatment Centers presents on young adult mental health to help shed light on its importance for the individual
and society. 11:45 – 1:15 Lunch Panel: Please join us for lunch and discussion with industry professionals about adolescent and young adult
assessment and treatment options. Sponsored by Cumberland Heights, Caron, Visions Adolescent, Jaywalker Lodge, La Hacienda, Four Circles and Talbott Recovery
Moderator: Bob Ferguson, Founder and CEO of Jaywalker Lodge
Dave Rotenberg, MA, MBA, CAC Diplomate, Vice President of Treatment at Caron
Hugh Nash, Director of Business Development, Cumberland Heights Treatment Center
John D. Lieberman, Director of Operations, Visions Adolescent Treatment Centers
Jack L. Kline, MS, LPC, LCAS, CCS, LPCS, Founder and Executive Director of Four Circles Recovery Center
1:30- 3:00 “Going system-wide: The Center for Students in Recovery at The University of Texas” - Ivana Grahovac, MSW, Director of The Center for Students in Recovery at the University of Texas at Austin
Join Ivana Grahovac, the director of The Center for Students in Recovery, and a panel of students in recovery at UT, as they speak
about being part of an inclusive, stage-of-change collegiate recovery program that the UT Board of Regents unanimously approved
to expand to all the academic institutions in the UT system” 3:15 – 3:00 Refreshments and Wrap up Sponsored by Ferguson Behavioral Health
John F. Kelly, Ph.D.
Dr. Kelly is an Associate Professor in Psychiatry at Harvard Medical School and the Program Director of the Addiction Recovery Management Service
(ARMS) and Associate Director of the Center for Addiction Medicine at the Massachusetts General Hospital (MGH). He has served as a consultant
to U.S. federal agencies such as the White House Office of National Drug Control Policy (ONDCP), the Substance Abuse and Mental Health Services
Administration (SAMHSA), and the national Institutes of Health (NIH); to non-Federal institutions, such as the Betty Ford Institute and the Hazelden
Foundation; and internationally to the British Parliament Drugs Misuse Taskforce. He has published more than 100 peer-reviewed articles, reviews,
and chapters in the field of addiction. His clinical and research work has focused on addiction treatment and the recovery process which has
included specific research on the effectiveness of mutual-help groups, such as Alcoholics Anonymous, as adjuncts to formal care. His additional
research endeavors have focused on the translation and implementation of evidence-based practice, addiction and criminal justice, addiction
treatment theories and mechanisms of action, and reducing stigma associated with addiction. He is a licensed clinical psychologist actively working
with individuals and families with alcohol and other drug use disorders.
SATURDAY, MAY 18
7:00am-7:45am Golf Breakfast
7:45am-2:00pm Golf Outing & Lunch
12:00pm-5:00pm
Exhibitor Setup
12:00pm-5:00pm
Registration
3:00pm-5:00pm NAATP Board Meeting
5:30pm-7:00pm Opening Celebration
Breakfast Sponsored by Pine Grove
Golf Luncheon Sponsored by St. Christopher’s Addiction Wellness
There is an additional charge for the Golf breakfast, outing and lunch.
Pre-Registration Required.
In Exhibit Area Sponsored by Alere Toxicology SUNDAY, MAY 19
7:00am-8:00am
7:30am-1:00pm
7:30am-8:30am
7:30am-3:00pm 8:45am Twelve Step Meeting Registration
Continental Breakfast
In Exhibit Area Sponsored by Hazelden
Exhibits Open
Welcome, Introductions and Opening Remarks
9:00am-10:30am
Opening Plenary - Chris Herren - “The Game Has Changed”
Sponsored by Gosnold and CRC
A former NBA player, Chris Herren was a high school basketball legend from Fall River, Massachusetts, who realized his
lifelong dream of playing for the Boston Celtics only to lose it all to alcohol and drug addiction. Sober since August 1, 2008,
he has refocused his life to put his sobriety and family above all else.
He shares his harrowing story of abuse and recovery in his memoir, Basketball Junkie, as well as in numerous interviews
throughout the ESPN documentary Unguarded, of which he is the subject.
In June of 2009, he launched Hoop Dreams with Chris Herren, a basketball player development company that offers basketball training, camps, and clinics to top basketball prospects
in New England.
Off the court, Chris Herren continues to share his story with audiences in the hopes of
reaching just one person and making a difference in his or her life. In inspiring presentations,
he draws on his own history to convince audiences that it is never too late to follow your
dreams and urges audience members to overcome their setbacks and start making the right
choices. To support this vision, he founded The Herren Project, a nonprofit organization
dedicated to providing assistance to families affected by addiction. In 2012 The Herren
Project launched a national anti-substance abuse campaign, Project Purple, to encourage
people of all ages to stand up to substance abuse.
Coffee Break in Exhibit Area Sponsored by Origins
Workshop A - Bipolar, Borderline and Substance Treating the Most Difficult Cases - Debra Meehl, DD, MSW, The Meehl Foundation
10:30am–11:00am
11:00am-12:00pm
An interactive presentation on using Dialectical Behavior Therapy, and the latest scientific research on SPECT imaging and
medication for substance abuse using case examples, open questioning and interactive demonstrations. Case examples
will be used to demonstrate the effectiveness of DBT in treating mood and personality disorder with co-occurring substance
abuse.
Workshop B- Concurrent Treatment of Substance Abuse and Eating Disorders - Michael E. Berrett, PhD &
Melissa K. Taylor, LMFT, Center for Change
This workshop will address the unique challenges of patients who suffer with both substance abuse and eating disorder.
Medical, dietary, and therapeutic guidelines and interventions will be presented. This workshop will include didactic
content, discussion, visual images, and experiential activities.
12:30pm-2:00pm
ROUNDTABLE LUNCHEONS (Please select which lunch you will attend on your registration form)
Clinical Roundtable: Changing the Way We Approach and Treat Addiction - Jason Z.W. Powers, MD, DABFP,
DASAM, Chief Medical Officer, San Cristobal, Spirit Lodge & Right Step
There is something fundamentally lacking in how we look at mental health. You can’t remove depression without teaching joy and remove anxiety without instilling hope. Recovery means much more than abstinence: recovery is a complete
shift in the whole person, including relationships, emotions, physical health and spirituality. The DSM-IV should be turned
upside down. As the “go to” guide on all things mental health, it pathologizes everything, including the people we treat.
The truth is that medicine and psychology, as a whole, are undergoing a paradigm shift. Dr. Powers will describe how hope,
optimism, and strengthened resources provide the necessary ingredients for addicts to flourish in recovery. By using the
emerging empirical evidence from the fields of positive psychology, philosophy, and more, Dr. Powers will present a gamechanging and effective approach that he has named Positive Recovery.
CEO / Board Roundtable: The Art of Inspired Leadership: How Culture Can Transform Our Organizations,
Move Our Field, and Improve Client Care - Miles Adcox, MS, CEO of Onsite
A look at what we can learn from other industries on mentoring and recruiting new talent and why generations x,y and
z are leaving the field for more inspiring and less taxing work. Insights gained from working with hundreds of addiction
professionals in leadership roles over the last 5 years across all generations will be presented and explored. A strategy
for leaders going forward and how together we can bridge the generational leadership gap in the treatment industry.
12:30pm-2:00pm
ROUNDTABLE LUNCHEONS Continued
Marketing Roundtable: “Communicating Now and Then: Using Technology & Social Media to Enhance
Treatment, Aftercare, and Alumni Services” - Dorothy Dorman, CEO of Harmony Foundation and Marvin
Ventrell, Director of Harmony’s Community & Alumni Relations Office
This session will cover methods for using technology and social media in four key areas: serving clients in residence, serving clients in aftercare, serving alumni, and marketing treatment programs. The presentation will include information on
blogging as an educational tool, using a mobile phone app as an aftercare component, using E-readers for young peoples’
recovery, evaluating web and social media data, staying connected with alumni through Facebook and Twitter, marketing
treatment programs through social media, and tracking success rates for evidence based program development.
Insurance Roundtable: Privacy / Cyber Liability Risks in the Treatment Industry ~ Are your
Organization’s Financial Assets Protected? - Sean F. Conaboy, Broker-NSM Insurance Group – Phila. Pa.
and Richard Willetts, CPCU, ARM
This dynamic presentation and discussion will explore one of the greatest threats to the Fiscal Health of Treatment
Programs today! The TRUTH is regardless of an Organizations perspective on this issue - you will be held financially
liable for costs associated with a HIPPA or HITECH violations. Does your organization have coverage for Breach related
expenses such as Notification – Public Relations- Forensics- Credit Monitoring- Business Income Loss- Legal Defense $
Costs associated with Patient / Clients Suits ? The good news is financial disaster can be averted. Encourage attending the Luncheon to find out how! Sponsored by Origins
2:00pm – 2:30pm
Refreshment Break in Exhibit Area
2:30pm-3:30pm
Workshop A - Abstinent 12 Step Oriented Treatment as Part of the Continuum - It is not us against them! - Charles W. Morgan, MD, FASAM, FAAFP Medical Director, Seabrook House, Inc.
Chapman Sledge, MD, Chief Medical Officer, Cumberland Heights Addiction Treatment Center
Kenneth W. Thompson, MD, FASAM, Medical Director, Caron Treatment Centers
Workshop B - Treating Co-Occurring Disorders - Tina Black, LCSW - Clinical Services Director, Talbott
5:30 pm
Board Reception
Sponsored by Caron and NSM Insurance
Caron’s Jasper Chen See Award
Join us for Dinner and Entertainment by the Tejas Brothers!
This workshop will hopefully stimulate critical thinking in regards to recovery and a patient centered approach
supporting the use of abstinent based, 12 step oriented treatment as an important part of the continuum for substance
use disorders. It will ask the question of what is recovery and discuss total abstinence as the Gold standard for the
trajectory of outcome. This is not a presentation that abstinence is good and maintenance is bad. Addiction will be
discussed as a chronic medical illness requiring ongoing monitoring and treatment interventions. Abstinent based 12
step oriented interventions will be discussed as an active process that improves the alterations of neural plasticity of
addiction in addition to supporting the development of adequate scaffolding leading to life long recovery of this chronic
disease. 12 Step oriented, abstinent based treatment is discussed as consistent with addressing addiction as a chronic
disease supporting the necessary lifestyle, psychosocial, spiritual and medication interventions. Interventions such as
opioid maintenance, anti-craving drugs, blockers and deterrents in an abstinent based model will be discussed. 12
step recovery will be discussed as a disease modifying medication. Outcome studies for medications, psychosocial and
spiritual interventions will be reviewed and critiqued. The need for more science on abstinent based, 12 step oriented
interventions will be discussed.
In this workshop, the link between substance use and mental disorders, as well as the significance of the issue in US
population, will be discussed. Participants will gain a better understanding of the complications and challenges related
to treatment of addiction with co-occurring psychiatric disorders and the impact dual diagnosis has on the course of
treatment and outcomes. Presenter will discuss tools for assessing and diagnosing the problem, as well as innovative
treatment modalities for simultaneous treatment of multiple disorders in a single treatment environment by a single
treatment team.
After forming in the fall of 2006, the Tejas Brothers quickly became
the subject of big conversation around the stockyards of Fort Worth.
Within a few short years, they had earned the respect as one of
the best live acts in Texas. The group’s debut CD was recognized
as the 7th most played album for 2009 by the Americana Music
Association. With the release of their 2nd album, Kelly Dearmore of
the Dallas Observer said, “The quartet is once again proving itself
one of the best bands in the state.” The group is now working
on their 3rd and most anticipated release. Roothog Radio says, “If
this music doesn’t put a wiggle in your walk, you’d better get your
hearing tested.”
MONDAY, MAY 20
7:00am–8:00am
7:30am – 3:30pm
7:30am – 8:30am
Twelve Step Meeting
Exhibits Open
Continental Breakfast – In Exhibit Area
8:30am – 9:30am
Workshop A - Women and the Impact of Addiction: Special Issues in Treatment and Recovery Cheryl Knepper, MA, LPC, ATR-BC, CSAT-S, ICCDPD, Vice President of Caron Continuum Services Sponsored by Tully Hill
Substance abuse impacts women from all walks of life. About 92% of women who need treatment for alcohol & drug
dependence do not receive it for fear of losing their children, their jobs, shame, guilt, lack of family and money. Today
women face a multitude of complicating factors. Addictions are complicated by the fact that many individuals struggle
with more than one at any given time making recovery at times seem impossible. This presentation will focus on current
trends, current treatment approaches and how to support a recovery plan that will provide accountability, support and
recovery for life.
Workshop B - Advanced Techniques in Understanding and Treating Chronic Relapse in Adults - Heidi Voet
Smith, MA, LPC , Burning Tree Recovery Ranch
Properly identifying, understanding and treating chronic relapsers is a difficult task that many treatment providers face
today. This workshop will deconstruct and clearly define this population of difficult clients. Treatment protocols will be
discussed in detail as well as when to refer chronic relapsers to specialty treatment. The workshop is interactive and
utilizes film clips to display various characteristics of the chronic relapser.
9:30am – 10:00am
Coffee Break in Exhibit Area
Sponsored by Cumberland Heights
10:00am – 11:00am
Plenary Session – A Comprehensive Response to the Opioid Crisis
Marvin D. Seppala, MD, Chief Medical Officer Hazelden Foundation
Scott Hesseltine, Chemical Dependency Program Supervisor, Hazelden Center City
Fred Holmquist, Director of The Lodge at Hazelden
Treatment admissions for prescription opioid dependence have increased at least four fold since the mid nineties and
prescription opioid overdose death has fueled the increase in prescription drug overdoses which are now the number
one accidental cause of death in the U.S.; higher than motor vehicle accidents. Our treatment programs are experiencing
regular unit milieu problems and we have seen deaths due to opioid relapse shortly after treatment. As a result of this crisis
Hazelden has reviewed the literature and examined our opioid dependence treatment services to enhance the treatment of
this group. We have responded by enhancing the treatment of opioid dependence; including alterations in group therapy,
altering education about opioids and by instituting protocols for the use of evidence based medication assisted treatment. Three aspects of our response will be described by the three presenters. First: the opioid crisis and our decision making
as an organization, then pharmacology and use of extended release, injectable naltrexone and buprenorphine. Second:
the treatment experience and our response as described by an addiction counselor. Third: an historical and philosophical
explanation for use of these medications in a 12 Step, abstinence based treatment program. 11:15am – 12:00pm
Workshop A - Systemic Recovery: Assessment, Support, Accountability, & Outcome Research for the Entire Family System - John Southworth, Southworth Associates and Caroline Smith, Pine Grove Behavioral Health
Workshop B - “Back from the Abyss – How On-Campus Collegiate Recovery Programs Are Changing the Face of Treatment and Higher Education.” - Bob Ferguson, Founder & Director of Jaywalker Lodge
Sustainable change is hard for clients and even harder for some families. Research clearly indicates that if a family system
embraces recovery, addiction recidivism is reduced. The goal of this session is to provide addiction treatment leaders with
cutting edge techniques to support families struggling with the disease of addiction. We will discuss the advantages of
using a focused, effective task centered model designed to support the whole family while simultaneously intervening on
each individual within the system. An overview of project conception and curriculum will be explained. This discussion
will include key areas of assessment, readiness for change, personal accountability, and the individualized support needed
when addressing co-occurring issues. Professionals will learn the importance of leveraging monthly outcome data to
motivate and enhance system change. Finally, we will discuss how to utilize these techniques when working with diverse
client systems.
As the “youth movement” in addiction treatment takes hold - with the average age of those seeking recovery from addiction continuing to decline - treatment providers are grappling with a new set of challenges in terms of integrating higher
education into the continuing care plans of their newly sober clients. Specifically, the question of how, when and whether
a 20-something addict in early recovery should attempt to return to a college campus poses the ultimate high risk / high
reward dilemma for provides and patients alike. This presentation will provide an overview of several unique approaches
to on-campus collegiate programming; including an examination of the pros and cons of both program structures that are
driven by treatment centers, as well as those that are organized and managed by the colleges themselves. An examination
of available data will include both academic and sober outcomes; as well as enrollment trends and graduation rates at
collegiate recovery communities around the country.
12:00pm – 1:30pm
Annual Awards Luncheon/Welcome New Members
Sponsored by Pine Grove, Southworth Associates and Alina Lodge
• Nelson J. Bradley Life Time Achievement Award
• Michael Q. Ford Journalism Award
• James W. West, M.D. Quality Improvement Award
• ACATA Administrator of the Year Award
1:30pm – 2:00pm
Refreshment Break in Exhibit Area Sponsored by Casa Palmera
Visit 5 Exhibitors and YOU could win airfare for 2 anywhere in continental US
2:00pm – 3:00pm
Sponsored by Southworth Associates
How it works:
• Pick up a Visitation Validation
Sheet before entering the hall
on Monday afternoon. Have
your exhibit visitation form
validated by at least 5 exhibitors. Deposit in drawing box.
• Winner will be chosen during
Tuesday’s closing plenary.
Must be present to win.
Workshop A - Taking Men’s Addiction Services to the Next Level- Effectively Engaging Men and Addressing Their Unique Exerience of Trauma - Dan Griffin, MA, Griffin Recovery Enterprises
This presentation provides an overview of the history of men’s treatment and the theory and research that establish the
foundation for Men’s Integrated Treatment (MIT), a new framework for treating men developed by the author and colleagues. Using the principles of MIT, the presenter has developed, with Dr. Stephanie Covington and Rick Dauer, Helping
Men Recover, the first gender-responsive and trauma-informed treatment curriculum for men. This curriculum addresses
what is often missing in prevailing treatment models: a clear understanding of the impact of male socialization on the
recovery process, a consideration of the relational needs of men, and a focus on the issues of abuse and trauma. Attendees
will learn key skills for more effectively engaging men in clinical services, a clearer delineation of the phenomenology of
men’s trauma, and also be able to experience some exercises from the presenter’s groundbreaking curriculum
Workshop B - Healing the Addicted Brain - Dr. Harold C. Urschel, III MD, MMA, author of The Addicted
Brain
Findings from decades of NIH research on alcoholism and addiction rarely find their way into clinical treatment programs.
Consequently, this session’s purpose is to provide accurate, scientifically excellent information about alcohol and drug
addiction treatment which can allow addicts to control cravings and reduce the physical brain injury caused by addiction, in order to inspire hope in the attendee. This session can provide valuable information for clinicians and treatment
providers including those with limited treatment resources to help them understand how to implement these new
science-based changes into the new Accountable Care Organization health plan structures.
3:00pm
Exhibitors may breakdown
TUESDAY, MAY 21
7:00am – 8:00am Twelve Step Meeting
8:00am – 9:30 am
Sponsored by Gateway Rehab
Closing Plenary Breakfast - Affordable Care Act
Over the last year you have heard a lot about the Affordable Care Act, Essential Health Benefits, Obama
Care and how all of this has impacted and will continue to affect our field. Come hear the latest information
on “what it was like, what happened and what it’s like now” in health care as it directly affects our ability to
treat patients and receive compensation.
Drawing for the winner of airfare for 2 anywhere in continental US will be held.
Sponsored by Southworth Associates.
(Must be present to win. To Enter: Pick up a Visitation Validation Sheet before entering the hall on Monday afternoon
from 1:30 - 2:00. Have your exhibit visitation form validated by at least 5 exhibitors. Deposit in drawing box.)
Hotel Reservation Information
Reserve your room at the La Cantera before April 14, 2013
To book, modify, or cancel a reservation visit:
https://www.starwoodmeeting.com/StarGroupsWeb/res?id=1211017528&key=B70F0 or call 800-228-3000
Room Rate: $239 (Plus $10/day resort fee)
Registration Form
2013 NAATP Annual Conference
May 18 - 21, 2013
(Each individual attending the Conference MUST fill out a separate registration form, including exhibitors. Please Print Clearly.)
Last Name
First
Title
Contact Hours for this activity are
provided by Bradford Health Services:
•National Board of Certified Counselors
NBCC #5414
•Alabama Board of Nursing ABNP #1107
•National Association of Alcohol and Drug
Abuse Counselors NAADAC #435
•Social Work Board of Alabama Approved
Organization
Address
City/State /Zip
Phone
Email
Fax
(You must provide email address to receive confirmation)
NAATP Member
Preconference May 17 (5.5 Hours)
Annual Conference $199
$350
Non-Member
Become a Member
$225
of NAATP and get One free Conference
$450 Registration!
Round-Table Luncheons (Luncheons are Included in the registration price. For planning purposes you MUST select which
luncheon you will attend.)
Clinical
CEO/Board
Marketing
Insurance
NAATP Golf Outing & Lunch
$250
$250
I would like to play in the following Foursome:
Total
$
(Each player must register separately)
_________________________ _________________________ _________________________ _________________________
Payment
Make check payable to NAATP
Mail form to:
NAATP
313 W. Liberty Street, Suite 129
Lancaster, PA 17603
Phone: 717-392-8480 Fax: 717-392-8481
[email protected]
Cancellation Policy
Refunds will not be issued after May 1, 2013. Substitutions of attendees may be made at
any time without charge. We reserve the right to offer qualified substitute presenters in the
event of an emergency, illness, etc. If a particular presentation has to be cancelled, attendees are still responsible for the full amount of their registration fees.
Register Online at www.naatp.org
Application for Exhibit / Sponsorship
Sponsorships opportunities and exhibits are going fast. Below are a few remaining sponsorship opportunities.
Booth Exhibit/Display and two (2)
registrations for $1,200.
Includes: 8’ draped table, back & side drapes, ID sign, 2 chairs &
wastebasket. Includes 2 Complimentary Registrations
Tee and Green Sponsorship for Golf Outing $500.00
The annual Golf outing is on Saturday, May 19. Price is per tee and
per green.
Roundtable Luncheon $4,500.00*
Have Your Name listed on the Conference Bags $500.00
Have your name prominently displayed on the conference bag.
Conference Bag Inserts $500.00 per item
An opportunity for you to ship 450 copies of an item you would like to
provide to the NAATP Conference registrants. Can include books, magazines, conference announcements, proceedings or other free materials.
Materials will be placed into the registrants’ packets. Sorry, we will not
be able to return left-over materials.
Provides you with an opportunity to provide a brief welcoming
comment during the luncheon; a sign at the entrance noting your
sponsorship and recognition in the program.
Place your Ad in the Conference Program $700
Continental Breakfast $5,500.00*
Please note that sponsorship opportunities are available on a firstcome, first serve basis and are Subject to Change.
Provides you with an opportunity to provide a brief welcoming
comment during the continental breakfast; a sign at the breakfast
entrance noting your sponsorship and recognition in the program.
Coffee Break $2,500
Coffee, Juice, water and light snacks in the exhibit area. A sign
at the entrance noting your sponsorship and recognition in the
program.
Place your full page color ad in the conference program. A limited number of ads will be accepted.
*Sponsorships with an asterisk include ONE complimentary conference registration.
** Sponsorships with 2 asterisks include TWO complimentary conference registrations.
Cancellation Policy:
Refunds will be issued through March 15th. After March 15th, if booth
is cancelled and can be resold a refund will be issued.
Total Cost of Sponsorship And Booths
$___________________________________
Name (please print):______________________________________
Organization:___________________________________________
Address:_______________________________________________
City:_________________________State:______ZIP:____________
Telephone: __________________________NAATP Member?_____
Email: _________________________________________________
Please return application and payment to Sherry Anderson
Fax: 717-392-8481
Email: [email protected]
313 W Liberty St., Suite 129
Lancaster, PA 17603
Or Register Online at
www.naatp.org/events/2013-annual-conference/