Recovery Jeopardy Team Registration Form

Recovery Jeopardy Team Registration Form

August 27, 2026 - 1:00PM to 3:00PM - 118 S White Street, Carrollton, GA 30117
Please complete this entire form to be placed on a team!

Registration will be closed once the teams are filled.
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What county do you live in?
To help create balanced teams, what stage of recovery best describes you?
Have you ever attended a Recovery Spot or CMHA event before?
Would you like to be on a team with someone you know?
If yes, please make sure that they fill out a separate team registration form and place their name here:
Do you have any accessibility or accommodation needs?
Are you comfortable answering recovery and mental health trivia questions in front of a group?
Emergency Contact:

First NameLast Name
Emergency Contact Phone:
Please enter a valid phone number.Format: (000) 000-0000.
I understand this is a fun educational event, and teams will be assigned by event staff. I agree to participate respectfully and encourage others.
Should be Empty: