HeadsUp Harrow Substance Misuse & Wellbeing Workshops booking form
Please use this form to register your interest in a free drug & alcohol misuse and wellbeing workshop for your school, college or youth organisation.
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Contact Details
Name *
School/College/Organisation *
Your role *
E-mail address *
Phone number *
Workshop Details
Desired Date(s) & Time(s) *
How many young people will be attending each workshop? (approx.)
(If you are booking more than one select all appropriate options)
 *
Required
Which age group will the young people be? 
(tick as many as appropriate)
 *
Required
Presentation Requirements
What equipment would you need us to bring? 
(tick as many as appropriate)
 *
Required
Are you aware of any young people or staff at your organisation who may be impacted by this topic? 
 *
If the answer is yes, please could you meet with them beforehand and make them aware of the workshop and give them the option whether or not they would like to attend. You might also consider how you can support them during and after the workshop. 
Is there anything else about your organisation that you would like to share with us? (e.g. accessibility requirements etc.)
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