Return this completed form on or before FRIDAY, JULY 26

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DO YOU AUTHORIZE THE RELEASE OF YOUR EMAIL IN THE CONFERENCE PACKET?
IF you will be preparing/using a PowerPoint presentation, will you need sound?

IF you will have a PowerPoint presentation and/or any other non-copyrighted ‘handouts’, please send an advance copy by FRIDAY, OCTOBER 11 to katie@esimgt.com so they may be posted and ready for attendees to follow during the conference.  Then, bring your presentation on your laptop so you can use and reference your materials as you present.

If you will be including anything from the web, please have that embedded so there are no issues with wi-fi connections during your presentation.

TEACHING METHODS and/or MATERIALS YOU PLAN TO PROVIDE / USE (Please check all that apply):
OBJECTIVES:

As a presenter at the 2024 Utah Fall Conference on Substance Use, I hereby agree to conduct a presentation as detailed above and in the letter of confirmation. I also agree to ensure that my participation is free of slanderous statements, that I will not hold any other parties liable for my comments, and that I will not utilize someone else’s written materials without their permission. In so doing, I also agree to indemnify, hold harmless, and defend the partners and organizers of this meeting for actions that may result from my participation.