Registration is now open for the 2024 Active Minds Mental Conference in Washington, DC.

Students: $110
General Registration: $200

Regular registration available until July 25, 2024, 5:00pm ET or until space is full:

Students: $150
General Registration: $240

The target audience for the 2024 conference is young adults, including students (ages 18-25). If you are under the age of 18 and interested in attending the conference please contact conference@activeminds.org for additional information.

If you are registering for more than one person, we recommend you review the questions in advance to ensure that you have all the information necessary to successfully register. If you are registering more than four attendees, please contact Emelyne Ndikumasabo at emelyne@activeminds.org to process the group registration.

If you have received a discount code through an affiliation group, please apply the code when checking out.

Please use Chrome, Firefox, or Safari browsers to register.

What type of ticket are you buying?

How many tickets are you purchasing?

Attendee #1 Details

General Information (as you would like to appear on your name tag)

First Name

Last Name

Title (or enter "student" if applicable)

Organization/School Name

Pronouns (If you'd like them included on your name tag)

Is the individual 18 or older?

The target audience for the 2024 conference is young adults, including students (ages 18-25). If you are under the age of 18 and interested in attending the conference please email conference@activeminds.org for additional information.

Contact Information

Email address

Phone number

Street Address

City

State

Enter "Other" if outside United States

Other State:

Zip

Emergency Contact (First & Last Name)

Emergency Contact Phone Number

Conference Details and Preferences

As part of the registration, four meals are provided for all attendees (Friday Breakfast and Lunch + Saturday Breakfast and Lunch) as well as light refreshments on Friday evening for young adult attendees. To help us ensure accurate numbers for each meal, please indicate which conference meals you plan to attend.
Which conference meals do you plan to attend? (Check all that apply)

Friday BreakfastFriday LunchFriday Young Adult Evening Social (light refreshments only)Saturday BreakfastSaturday LunchNone

Dietary Accommodations (Check all that apply)

NoneVeganVegetarianGluten Free

Accessibility

We strive to host inclusive and accessible events that enable all individuals to engage fully. Please include any accessibility services, pursuant to the Americans with Disabilities Act, that Active Minds can provide to the event venue to assist with your experience. If we have any questions an Active Minds staff person will be in contact with you prior to the event.

Tell us about you

Are you an Active Minds Chapter Member or Leader?

Which of the following best describes your role in this setting? (Check all that apply)

Active Minds Chapter Advisor/Youth ChampionActive Minds Chapter AlumniHigh School Staff, Teacher or AdministratorCollege/University Staff, Faculty or AdministratorParent or CaregiverCorporate, Nonprofit, Government or Foundation RepresentativeMental Health PractitionerOther

Other

Active Minds Chapter

What is your current gender identity?

What racial or ethnic identity do you most identify with?

Other ethnic/racial identity

Please check below to acknowledge the following:

COVID-19 has been declared a global pandemic by the World Health Organization and is extremely contagious. Active Minds will continue to follow applicable protocols to mitigate attendees’ potential exposure to COVID-19; however, Active Minds cannot guarantee that attendees will not become infected with COVID-19. By registering for the 2024 Active Minds Mental Health Conference, I

-Acknowledge the contagious nature of COVID-19;
-Voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending the Active Minds Conference which exposure or infection may come from the actions, omissions, or negligence of myself and others, including, but not limited to, Active Minds employees, volunteers, and program participants and their families;
-Acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and death; and
-Hereby release, covenant not to sue, discharge, and hold harmless Active Minds, its employees, agents, and representatives, of and from any injury to me resulting from being exposed to or infected by COVID-19 in connection with my attendance at the Active Minds Conference (including claims based on the actions, omissions, or negligence of Active Minds, its employees, agents, and representatives).

Acknowledged

Attendee #2 Details

General Information (as you would like to appear on your name tag)

First Name

Last Name

Title (or enter "student" if applicable)

Organization/School Name

Pronouns (If you'd like them included on your name tag)

Is the individual 18 or older?

Contact Information

Email address

Phone number

Street Address

City

State

Select "Other" if outside U.S.

Other State

Zip

Emergency Contact (First & Last Name)

Emergency Contact Phone Number

Conference Details and Preferences

Friday BreakfastFriday LunchFriday Young Adult Evening Social (light refreshments only)Saturday BreakfastSaturday LunchNone

Dietary Accommodations (Check all that apply)

NoneVeganVegetarianGluten Free

Accessibility

We strive to host inclusive and accessible events that enable all individuals to engage fully. Please incude any accessibility services, pursuant to the American with Disabilities Act, that Active Minds can provide to the event venue to assist with your experience. If we have questions an Active Minds staff person will be in contact with you prior to the event.

Tell Us About You

Are you an Active Minds Chapter Member or Leader?

Which of the following best describes your role in this setting? (Check all that apply)

Active Minds Chapter Advisor/Youth ChampionActive Minds Chapter AlumniHigh School Staff, Teacher, or AdministratorCollege/University Staff, Faculty, or AdministratorParent or CaregiverCorporate, Nonprofit, Government, or Foundation RepresentativeMental Health PractitionerOther

Other

Active Minds Chapter

What is your current gender identity?

What racial or ethnic identity do you most identify with?

Other ethnic/racial identity

How many times have you attended the Active Minds National Conference in person?

Please check below to acknowledge the following:

-Acknowledge the contagious nature of COVID-19;
-Voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending the Active Minds Conference which exposure or infection may come from the actions, omissions, or negligence of myself and others, including, but not limited to, Active Minds employees, volunteers, and program participants and their families;
-Acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and death; and
-Hereby release, covenant not to sue, discharge, and hold harmless Active Minds, its employees, agents, and representatives, of and from any injury to me resulting from being exposed to or infected by COVID-19 in connection with my attendance at the Active Minds Conference (including claims based on the actions, omissions, or negligence of Active Minds, its employees, agents, and representatives).

Acknowledged

Attendee #3 Details

General Information (as you would like it included on your name tag)

First Name

Last Name

Title (or enter "student" if applicable)

Organization/School Name

Pronouns (If you'd like them included on your name tag)

Is the individual 18 or older?

Contact Information

Email address

Phone number

Street Address

City

State

Other State

Zip

Emergency Contact (First & Last Name)

Emergency Contact Phone Number

Conference Details and Preferences

As part of the registration, four meals are provided for all attendees (Friday Breakfast and Lunch + Saturday Breakfast and Lunch) as well as light refreshments on Friday evening for young adult attendees. To help us ensure accurate numbers for each meal, please indicate which conference meals you plan to attend.
Which Conference meals do you plan to attend? (Check all that apply)

Friday BreakfastFriday LunchFriday Young Adult Evening Social (light refreshments only)Saturday BreakfastSaturday LunchNone

Dietary Accommodations (Check all that apply)

NoneVeganVegetarianGluten Free

Accessibility

We strive to host inclusive and accessible events that enable all individuals to engage fully. Please include any accessibility services, pursuant to the American with Disabilities Act, that Active Minds can provide to the event venue to assist with your experience. If we have questions an Active Minds staff person will be in contact with you prior to the event.

Tell Us About You

Are you an Active Minds Member or Leader?

Which of the following best describes your role in this setting? (Check all that apply)

Active Minds Minds Chapter Advisor/Youth ChampionActive Minds Chapter AlumniHigh School Staff, Teacher, or AdministratorCollege/University Staff, Faculty, or AdministratorParent or CaregiverMental Health Practitioner Other

Active Minds Chapter

Other

What is your current gender identity?

Other gender identity

What racial or ethnic identity do you most identify with? (Check all that apply)

African American/Black American Indian or Alaskan Native Asian American/Asian Hispanic/Latin(x) Native Hawaiian or Pacific Islander Middle Eastern, Arab, or Arab American WhiteSelft Identify (please specify)Prefer not to answer

Other ethnic/racial identity

How many times have you attended the Active Minds National Conference in person?

Please check below to acknowledge the following:

-Acknowledge the contagious nature of COVID-19;
-Voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending the Active Minds Conference which exposure or infection may come from the actions, omissions, or negligence of myself and others, including, but not limited to, Active Minds employees, volunteers, and program participants and their families;
-Acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and death; and
-Hereby release, covenant not to sue, discharge, and hold harmless Active Minds, its employees, agents, and representatives, of and from any injury to me resulting from being exposed to or infected by COVID-19 in connection with my attendance at the Active Minds Conference (including claims based on the actions, omissions, or negligence of Active Minds, its employees, agents, and representatives).

Acknowledged

Attendee #4 Details

Personal info (as you would like it to appear on your name tag)

First Name

Last Name

Title (or enter "student" if applicable)

Organization/School Name

Pronouns (If you'd like them included on your name tag)

Is the individual 18 or older?

Contact Information

Email address

Phone number

Street Address

City

State

Other State

Zip

Emergency Contact (First & Last Name)

Emergency Contact Phone Number

Conference Details and Preferences

Friday BreakfastFriday LunchFriday Young Adult Evening Social (light refreshments only)Saturday BreakfastSaturday LunchNone

Dietary Accommodations (Check all that apply)

NoneVeganVegetarianGluten Free

Accessibility

We strive to host inclusive and accessible events that enable all individuals to engage fully. Please include any accessibility services, pursuant to the American with Disabilities Act, that Active Minds can provide to the event venue to assist with your experience. If we have a question an Active Minds staff person will be in contact with you prior to the event. (optional)

Tell Us About You

Are you an Active Minds Chapter Member or Leader?

Which of the following best describes your role in this setting? (Check all that apply)

Other

Active Minds Chapter

What is your current gender identity?

Please check any of the following populations that you identify with:

Foster youthVeteranLGBTQ+First generation college student

What racial or ethnic identity do you most identify with? (Check all that apply)

Black/African AmericanHispanic/LatinxEast/Southeast AsianAmerican Indian/Alaska NativeNative Hawaiian/other Pacific IslanderMiddle Eastern/North African/ ArabSouth AsianWhiteOther (please Specify)

Other ethnic/racial identity

Which of Active Mind's programs have you engaged with in the past?

Active Minds Chapter NetworkActive Minds SpeakersEmerging Scholars Fellowship and/or Nash Family ScholarshipHealthy Campus AwardSend Silence PackingSpirit WeekValidate, Appreciate, Refer (VAR)

How many times have you attended Active Minds' National Conference in person?

Please check below to acknowledge the following:

Acknowledge the contagious nature of COVID-19;
Voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending the Active Minds Conference which exposure or infection may come from the actions, omissions, or negligence of myself and others, including, but not limited to, Active Minds employees, volunteers, and program participants and their families;
Acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and death; and
Hereby release, covenant not to sue, discharge, and hold harmless Active Minds, its employees, agents, and representatives, of and from any injury to me resulting from being exposed to or infected by COVID-19 in connection with my attendance at the Active Minds Conference (including claims based on the actions, omissions, or negligence of Active Minds, its employees, agents, and representatives).

Acknowledged

Checkout

Billing Address

First Name

Last Name

Billing Email

Street Address

City

State/Province

Zip

Country

Total Registration Cost ($)

Discount Code

codes are case sensitive

Payment Information

Name on Card

Card Number

Security Code

Pre-discount Total

Discounted Unit Price