MISSOURI ADDICTION COUNSELORS ASSOCIATION
FALL CONFERENCE REGISTRATION FORM October 16, 17, and 18, 2015
Name (please type or print)
Phone #
Address
City/State/Zip
Signature
Credentials
Agency Employed By
Phone#:
E-mail:
Conference Registration Fee $ __________
Extra Individual Banquet Meal(s) ($35 ea.) $ __________
Payment Method: Check_______ Credit Card Payment: ____MasterCard _____Visa _____Discover____________
Credit Card Number_________________________________ Exp. Date___________ Verification Code______________
Cardholder emal:______________________________________________________________
Billing Address_____________________________________________________________________________________
Name on Card_________________________________Cardholder’s Signature__________________________________
Total Amount Enclosed $ ______________________
**NO REFUNDS AFTER October 10, 2015
DETACH & RETURN TOP PORTION WITH REGISTRATION FEE
FRIDAY, October 16
8:00 am
9:00am - 11:00pm
Registration Opens
Track A
Rolling with Resistance
Kim Limbaugh, CRADC
(2 Contact Hours) Track B
Drugs and Behavior
Raymond Richardson, RASAC II and Frank Mulford, Ph.D., CADC
Track C * VSEE: Counseling with Consumers and Their Parents
Laura Nickelson, D.H.Ed., NCC, LPC
11:00pm – 1:00pm
LUNCH (on own) / FREE TIME (Open Board meeting at 11:30pm in The Terrace Room)
1:00pm – 3:00pm
Track A
There is More Than One Way of Doing an Intervention
Wilma Harpole MSW, LCSW, CRAADC, ICAADC
(2 Contact Hours)
Track B
Creating Hope (ARTC)
Natasha Vander Weide BA, CRADC
Track C
Oxytocin and Addiction
Kelly Payton, BS, RASAC I
3:00pm - 3:15pm
BREAK
3:15pm -5:15pm
Track A
Group Counseling With an Emphasis on Activities that Promote Interaction
and Bonding
Rebecca “Beka” Richards, RASAC II
(2 Contact Hours)
Track B * Walking thru Mental Health
Ruth Ridenhour, LPC and Christina Spies, MS, MSW, LMSW, CRADC, MARS
Christina Spies, MS, MSW, LMSW, CRADC, MARS
Track C * SBIRT
Linda Nickels, LCSW
SATURDAY, October 17
9:00am - 12:00pm
Track A
(3 Contact Hours)
Track B
Track C
12:00pm – 1:30pm
1:30pm - 4:30pm
(3 Contact Hours)
6:00pm - 9:00
Ethics
Mark McDonald, CRADC, CCGC, MARS, ICADC
Spirituality in Recovery
David Evans, LPC, CRAADC, CCDP-D
* Co-Occurring Disorders
Donna Lay, LPC
LUNCH (on own)/FREE TIME
Track A
Ethics
Mark McDonald, CRADC, CCGC, MARS, ICADC
Track B
Mindfulness – Relapse Prevention
Patty Erwin, LCSW
Track C * Affects of Addiction on Families
Joyce Griffin, Ph.D.
BANQUET
Membership meeting/White Elephant Auction/Raffle Drawing
SUNDAY, October 18
9:00 am – 12:00 pm
(3ContactHours)


Innovative Positive Approach to the Treatment of Addiction
Gena Moschenrose, Ph.D.
* Approved for Co-Occurring Credentials contact hours
An acceptable source for LPC continuing education requirements
Approved by MSAPCB for 15 Contact Hours
______________________________________________________________________________________________________
NOTE: Topics and / or Speakers Subject to change.
Check web site for updates; www.missouriaddiction counselors.org
CONFERENCE REGISTRATION for October 16, 17 and 18, 2015
Make Conference Registration Checks Payable to MACA and return to P.O. Box 459,
Seymour MO 65704
REGISTRATION FEES
Registration
$175 */**
Additional Banquet Meal available @ $35 each
One Day Only Fee: Friday- $75_________ Saturday- $75 *______________ Sunday- $40.00____________
* Fee includes Contact Hours and Banquet Meal
**Membership included
CONFERENCE SPONSORSHIPS
Any Individual or Agency can become a MACA Conference Sponsor: Gold ($600 donation), Silver ($400
donation), Bronze ($200 donation), and Friends of MACA (donation). Benefits vary from free Hotel lodging to
name recognition, to waiver of Conference Registration, etc. Even if you or your employees cannot attend the
Conference, you can still play a valuable role, like these Sponsors of the MACA 2015 Spring Conference: Gold
Sponsors – Missouri Credentialing Board (MCB), M.A.D.A.C., Inc.(Elaine Campbell); Guardian Interlock Silver
Sponsors – Preferred Family Healthcare, Inc. - Bronze Sponsors – Center Point Health Care and SSM Behavioral
Health; Friends of MACA: Linda Christian-Dinwiddie, Dawn & David Dinwiddie
INFORMATION BOOTHS / DISPLAY TABLES
If you or your Agency would like to have an Information Booth / Display Table at the MACA
Conference, contact Linda Christian-Dinwiddie, MACA President at 417-554-1412
E-Mail: [email protected] or visit our web page: www.missouriaddictioncounselors.org
WHITE ELEPHANT AUCTION
In addition to the Door Prize Raffle, MACA will have a “White Elephant Auction” at the Banquet.
Everyone is encouraged to bring items for the Auction. Always Lots of Fun!
ROOM RESERVATIONS: INN at GRAND GLAIZE
Osage Beach, MO
(BE SURE TO ASK FOR MACA ROOMS)
1-800-348-4731
Special MACA Room Rate: $78 + tax/night
NOTE: Check-In Time 4:00pm
Room Rate/Availability Guarantee October 01, 2015
2016 SPRING CONFERENCE
MACA 2016 SPRING Conference will be April 15, 16, 17 at INN at GRAND GLAIZE, Osage Beach, MO