Youth Mental Health First Aid Training for Parents/Guardians Registration Form

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Youth Mental Health First Aid Training for Parents/Guardians Registration Form

Due to space limitations, we ask that only 1 parent/guardian register per family. Participants must complete a 2-hour, self-paced online class and then commit to participating in a 2-hour video conference via Zoom on both Feb. 21 and 28.

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* Indicates required question

Parent/Guardian: Last Name, First Name *

Your answer

Parent/Guardian Email *

Your answer

Parent/Guardian Phone Number *

Your answer

Child 1: Last Name, First Name, Grade *

Your answer

Child 2: Last Name, First Name, Grade or Not Applicable *

Your answer

Child 3: Last Name, First Name, Grade or Not Applicable

Your answer

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