Save Our Seats!
The New Mexico Youth Summit on Opioid Awareness
To reserve seats for your school/organization, please complete the form below.
Please indicate the number of students and teachers/chaperones that will be attending the Summit. Summit tickets will be mailed to your school or organization one week prior to the event. NOTE: THIS IS A SCHOOL BASED EVENT. Registration is open to school groups and youth organizations. Individual tickets are not available.
School/Organization Contact Person Name:
School/Organization Address 1:
School/Organization Address 2:
How many members of your school/organization would you like to reserve space for?
(You will receive tickets for the number of people indicated)
Number of Teachers/Chaperones/Adults Attending:
Number of Students Attending:
Total Number of Attendees Planning on Attending:
Do any of your students or chaperones require special accommodations, i.e., wheelchair access, sign language interpreters?
What type of accommodations does your school require?
Hearing Impaired/ASL Interpreter
How many students require ASL Interpretation?
How many students/teachers require wheelchair access?
How many students/teachers are visually impaired?
What form of transportation will you be using to attend the event?
Will you require parking at the event?
How many buses will you require parking for?
How many cars will you require parking for?
Will you need to leave before the event concludes at 1:00 PM?
Should be Empty: