Full Name (What you place here is what will go on your certificate)
Which Class are you registering for?
September 23-24 303 Jackson Hill St Houston TX 77007
July 28-29 303 Jackson Hill St. Houston TX 77007
What Organization are you with?
Council on Recovery
If you are with 'Other' organization, how would you like to pay for the class
Send in a check
QR Code (Provided Below)
How comfortable are you with talking to someone who is suicidal?
What is the main reason you are wanting to take this class?
Should be Empty: