East Brunswick Youth Council - tMHFA Parent/Guardian Permission Slip

East Brunswick Youth Council - tMHFA Parent/Guardian Permission Slip

Thank you for completing the Parent/Guardian permission slip for your child to participate in the teen Mental Health First Aid (tMHFA) training at East Brunswick Youth Council. Please fill out all fields below.
Information about the tMHFA Program

We know that discussing mental health challenges can be difficult for young people. tMHFA is designed to focus on recovery and resiliency following a national curriculum created by Mental Health First Aid USA©, a division of the National Council for Mental Wellbeing.
Parental Consent

By signing this permission slip, you have read and understand the parent information sheet (found on the EBYC webpage) and are letting your child participate in the tMHFA training.
I First Name* Last Name* (parent/guardian name), give permission for my child, First Name* Last Name* (EBYC member name), who is in grade * , to participate in tMHFA Training during the 2025-2026 school year through East Brunswick Youth Council. I, First Name Last Name (parent/guardian name), can confirm that my child has not yet taken Teen Mental Health First Aid Training with East Brunswick Youth Council.
Name of Emergency Contact:*
Emergency Contact Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Child (ex: parent, aunt/uncle, etc.):*
Parent/Guardian Name:*
Parent/Guardian Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
We are offering individual tMHFA training sessions during the 2025-2026 school year. Your child must attend all 3 session class dates in order to become a First Aider.

Class sessions and corresponding dates:

1. Session 2 Dates (Your child MUST attend all 3 dates within the session):

3/2, 3/4, 3/6---6:00pm-8:00pm at the Youth Center (350 Dunhams Corner Road)
3/2, 3/4, 3/6---6:00pm-8:00pm at the Youth Center (350 Dunhams Corner Road)
Parent/Guardian Signature:*

Clear
Should be Empty:

East Brunswick Youth Council - tMHFA Parent/Guardian Permission Slip

Information about the tMHFA Program

Parental Consent