Welcome to DBSA WV's 2 Day Training Event Registration!
Please fill out the entire form, then click the SUBMIT button below. You will receive a confirmation email with PayPal payment instructions. The event schedule is available on our webpage www.DBSAWV.org and questions/concerns can be sent to DBSAWVMountaineer@gmail.com
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How Do You Plan To Attend? (Note: Cost is $15 for attending in-person or online)
*
Please Select
In-Person
Stream Online
How Will You Pay? (Note: $15 covers training for both days. Basic food options for lunch will be provided on both days. If you have food allergies or need special food requirements, please bring the food with you)
*
Please Select
PayPal (Preferred)
At The Door (Cash)
Any Other Special Accommodations We Need To Be Aware Of?
*
Submit Feedback
Should be Empty: