Spring 2022 Teen Registration Form
Teens Make Health Happen is an innovative club that teaches teens how to improve their well-being and use their passions to tackle pressing community health challenges.
Please fill out the registration form below to join a Teens Make Health Happen Digital Club, which will meet weekly for 1.5 hrs from February through May, 2022. To learn more about the club visit: https://teensmakehealthhappen.org/jointheclub/
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First Name *
Last Name *
Select all of the times you are available to join TMHH club sessions. Each session will be 1.5 hours long.
For help finding your time zone, click here: http://www.timezoneconverter.com/cgi-bin/findzone.tzc
Mondays [START time. Each session will be 1.5 hrs]
Tuesdays [START time. Each session will be 1.5 hrs]
Wednesdays [START time. Each session will be 1.5 hrs]
Thursdays [START time. Each session will be 1.5 hrs]
If other, please specify.
Age (You must be 13 years or older to participate) *
Grade Level *
Phone
Email *
Address (If you would like to receive a welcome kit, we need to know where to send it. Please include Street Address and Zip Code)
State/Territory/Providence *
T-Shirt Size *
School Name *
Principal Name
Principal Email
Time Zone *
Which health topic(s) are you most interested in? Choose all that apply.
Friend Request: List any friends you want to be paired with in your club.
How did you hear about Teens Make Health Happen? *
If other, please specify.
Please tell us a bit about yourself! What are you interests and hobbies? Do you require any accommodations or is there anything we can do to make this experience positive for you?
I have read this release and understand and agree with all of its terms and conditions. *
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