Sign-Up For Adult Mental Health First Aid
Please use this form to sign up for an Adult MHFA class hosted by the Farmington Valley Health District. A description of the course can be found at https://fvhd.org/community-health/courses
If the available class times are not convenient for you, please indicate that you are interested and we will reach out to you when additional class times are added. 
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Adult MHFA is for individuals 18 years and older.  *
Email *
Confirm Email *
Phone Number *
Town of Residence *
Which class would you like to attend? 
If a class is split up over 2 days, you must attend both to receive a certificate. 
If there are no class times listed, please mark that you are interested and we will email you when class times are added. 
*
A member of the FVHD staff will reach out to you via email within a week to confirm that we have received your registration. If a class is not adequately filled, FVHD reserves the right to cancel the class and offer registered participants a place in another class. Any cancellations or changes to time/date/location will be communicated via email.  *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy