Fall Retreat – Participant Registration

Date: October 29, 2022

Location: The Red Apple Inn located in scenic Heber Springs, Arkansas

Submit the form below to secure your registration!

Participant Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Choose a Payment Method(Required)

Pay online with PayPal

Pay by check

Pay with a credit card on arrival

Which registration would you like?

If you are a member, you are only responsible for the registration fee for members of $65.00. If you are a non-member, you have two options: (1) You can take advantage of a special membership rate for joining at the same time as your retreat registration - the membership fee is discounted from $75.00 to $50.00, and you get to register at the member rate of $65.00 for a total cost of $115.00 -OR- (2) You can register for the retreat as a non-member and simply pay for the non-member rate of $100.00. (Note: all rates exclude the costs for any accommodations)

ArMHCA Member:

Price: $65.00 Please enter a quantity:

ArMHCA non-member + membership sale price of $50.00 plus ArMHCA member rate for conference:

Price: $115.00 Please enter a quantity:

ArMHCA non-member, not interested in membership at this time:

Price: $100.00 Please enter a quantity:

ArMHCA member:

Price: $65.00

ArMHCA non-member + membership sale price of $50.00 plus ArMHCA member rate for conference:

Price: $115.00

ArMHCA non-member, not interested in membership at this time:

Price: $100.00

Total

Important Information

The Red Apple Inn has designated areas for the use of alcohol. Any violations of the rules regarding alcohol consumption could lead to heavy fines for ArMHCA and/or yourself. By checking “Yes,” you agree to abide by the rules regarding alcohol use and consumption while attending the ArMHCA retreat.(Required)

Yes

I understand that it is my personal responsibility to maintain my health during my time at the ArMHCA Retreat. I understand that ArMHCA, its Board, its members, retreat participants, and/or staff of the Red Apple Inn cannot prevent potential infection from COVID-19 or any other communicable diseases. My participation in this Retreat is strictly voluntary and any potential health risks are my responsibility. Masks, hand sanitizer, and any other appropriate means of reducing the risk of potential infection are encouraged.(Required)

Yes

About Food and Drinks

Breakfast and lunch on Saturday 29th are part of the retreat fees. All other meals and/or purchases of alcohol are the responsibility of the attendee.

About Accommodations

ArMHCA has set aside 40 sleeping rooms at the Red Apple Inn, the site of the retreat. Attendees have until October 14th, 2022 to reserve a sleeping room. Space is limited, make sure to reserve your room early!

Payment

Payment Method*

Check Payment

Address Check To: Arkansas Mental Health Counselors Association // Checks Mailing Address: 12898 Baker Mountain Road, Prairie Grove, AR 72753 // NOTE: checks must be received no later than Friday, October 21, 2022.

Credit Card Payment

For credit card transactions, please pay upon arrival at the retreat check-in.