REGISTRATION: MI Healthy Youth Forum

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REGISTRATION: MI Healthy Youth Forum - Nov. 9, 2022

Thank you for your interest in the Mercer Island Healthy Youth Forum on November 9, 2022 from 6:30-8:30 pm at the Mercer Island Community and Events Center. We look forward to you joining us for an evening of community connection, learning and dialogue!

>>> For more information about the forum visit https://www.mihealthyyouth.com

First Name *

Last Name *

Organization Name (optional)

Email Address *

Phone Number (optional)

DISCUSSION GROUPS

The forum will include the opportunity to engage in dialogue with other participants. We will assign tables based on development stages of children you would like to focus on.

Please indicate which development age group you would like to join for the dialogue. *

Preschool

Elementary (Grades K-2)

Elementary (Grades 3-5)

Middle School

High School & Young Adult

What is your primary role in the Mercer Island community: *

Student

Parent

Educator

City Leader

Healthcare Professional/Prevention Specialist

Community Member

Youth Organization Leader

Other:

How did you learn about the MI Healthy Youth Forum?

HYI Website

Personal Invitation

Friend

Clear selection

Thank you for registering for the program! We will send a reminder email a few days before the program. Question? Email michelle.ritter@mercerisland.gov.

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