June 21, 2022 Youth Mental Health First Aid Training Registration

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Training will be held on June 21, 2022 at 8:00AM-4:30 PM at the Sparrows Nest at the Abbey in Sparta. The cost is $10 which includes lunch. Make check payable to: Together We Thrive Cashton. Mail to: UW Extension-Monroe County, 206 S K St., Sparta, WI 54656. Registration will be confirmed upon receipt of check.

Space is limited to 30 participants.

Email *

First Name *

Last Name *

Phone *

Zip code of work or home (Course is limited to those who live and work in Wisconsin) *

Are you an Extension employee or volunteer?

Extension employee

4-H volunteer

other extension volunteer

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Do you have any special needs for the training? If you are requesting accommodations such as sign language, etc., please fill out the accommodations form. https://extension.wisc.edu/disability-accommodations/

Have you taken Youth Mental Heath or Adult Mental Health course in the past

Yes

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Any dietary requirements?

Any questions or comments?

A copy of your responses will be emailed to the address you provided.

Submit

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