Mercer County 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.

Class Availability:
Upcoming dates - Every second TUESDAY of the month from 4:30-8:30pm

September 12
October 10
November 14
December 12
January 9
February 13
March 12
April 9
May 14

Location:
540 E Market St, Celina, OH 45822

**No meal will be provided.  Please send your student with any snacks/meal they wish to have.

The $25 registration fee can be paid by cash or check. Payment is to be provided on the day of your child's attendance. Please make the check out to Prevention Awareness Support Services or PASS

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

Contact: Lexi Allmandinger at lallmandinger@passaah.org or Bethan Miller, OCPS at 419-549-8530 ex. 103 or bmiller@passaah.org for any questions.
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