Sign-Up For Teen Mental Health First Aid

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Please use this form to sign up for a Teen 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.

First Name *

Last Name *

Teen MHFA is for individuals 15 to 18 years old and/or in grades 10 through 12. *

I am 15 to 18 years old and/or in grades 10 through 12.

Email *

Confirm Email *

Phone Number *

Town of Residence *

Which class would you like to attend?

If a class is split up over multiple days, you must attend all 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.

I am interested in Teen MHFA but I cannot make any of these dates. Please keep me informed of future dates.

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. *

I have read the above statement.

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