Auglaize County Middle School IMind Registration Form
I Mind consists of evidence informed education and a substance use intervention assessment. Topics will include prevention on smoking, vaping, alcohol, marijuana, and other drugs. Each student will take a Substance Abuse Subtle Screening Inventory (SASSI) as a tool in assessing substance use disorders. Parents will receive screening results at a later time after review. The school will not receive or have access to the screening results.

Phone use is not permitted during class. Program attendees will be required to turn in their phones while class is in session.

**Students will need to bring snacks or a sack meal.  Food will not be provided.

Class Availability:
Upcoming dates -  2nd WEDNESDAYS 4pm-8pm (unless otherwise noted):

September 13
October 18 (3rd Weds)
November 8
December 13
January 10
February 14
March 13
April 17 (3rd Weds)
May 8


Location:
Wapakoneta Middle School
400 West Harrison St.
Wapakoneta, Ohio 45895

The $25 registration fee can be paid by cash or check. Payment is to be provided on the Wednesday of your child's attendance. Please make the check out to MHRSB

Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of PVFF. Report Abuse