Registration Form
Fill out the form carefully for registration. The East Bay Regional Coalition is providing mental health awareness trainings through funding provided by SAMHSA. Participants who receive free training will be better able to offer resources to people in need. This program is run through an MHAT grant.
Name
*
First Name
Middle Initial
Last Name
E-mail
*
example@example.com
Mobile Number
Choose the training you would like to attend:
Columbia Suicide Training at the East Providence Library on 10/9/24 6:30 - 7:30 PM
Aging Vibrantly Adults at the Barrington Library on 10/10/24 1:00 - 2:00 PM
Stronger Together at the Barrington Library on 11/7/24 6:00 - 8:30 PM
Aging Vibrantly Adults at the East Providence Senior Center on 11/27/24 10:00 am - 11:00 am
Columbia Suicide Training at the Barrington Library on 12/5/24 6:00 - 7:00 PM
Submit Application
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