2023 Mental Health Awareness Walk

2023 Mental Health Awareness Walk Participant Pre-Registration Form

Please fill out the registration information below and submit form for pre-registration to be completed.
Event Information

When: Sunday September 10th, 2023 Registration: 1:00-1:30 pm in MHS Cafeteria Speaker: 1:45 in MHS Cafeteria Walk: Start in Riverview Park behind school, 5k in length
Participant Name*

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Age*
CONSENT FOR PARTICIPATION:

By signing and submitting this document I hereby acknowledge all risk(s) involved and/or associated with participating in the 2023 Phillips County Mental Health Awareness Walk.
The Phillips County Hospital and Family Health Clinic, Phillips County Health Department, and Eastern Montana Community Mental Health Center would like to thank you for participating in the 2023 Phillips County Mental Health Awareness Walk. Our hope is to make our community a better place through the awareness of mental health, its frequency, its importance, and resources for help. Support form our community is very appreciated and we thank you for joining our efforts.
Participant Signature*

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