Mental Health First Aid (Virtual), June 15, 2023

Mental Health First Aid (Virtual) June 15, 2023

We will send a Zoom link to you after registration. Please plan to use your webcam and come ready to participate. We look forward to meeting you soon! Please contact as soon as possible if you can't attend.
Please fill in all of the below fields and press submit when done.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*

Confirmation EmailPlease confirm email.
Organization*
Job Title
Phone Number
Please enter a valid phone number.
Are you a farmer?*

YesNo
If no, is someone else in your immediate family a farmer?*

YesNoN/A
Are you a military veteran?*

YesNo
What county do you reside in?*
Date, Time & Format of the class(es).*

I am committed to attending my in-person class on the designated date.
If fewer than 5 people complete the Pre-Work or attend the class, the class (valued at $170 per person) may need to be cancelled. Funding is limited, so a cancelled class means fewer people can receive this special training at no cost to them.*

I commit to setting aside the entire time to attend my class.
We will be providing lunch. Do you have any type of food allergies or sensitivities we should be aware of?
Are there additional accommodations that we can provide? If any, please specify...
Do you have any questions?
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Mental Health First Aid (Virtual) June 15, 2023