2021 Healthy Bodies Healthy Minds Institute: Pre-registration Form

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HBHMI 2021, a virtual conference, will take place on Tuesday, August 3 from 9am-3pm EST. Please fill out your information below to pre-register for the event.

The theme for this year's event is Building resilience, embracing diversity and fostering equity in our community for students, parents and educators. The event will begin with a keynote address followed by two opportunities to participate in live and pre-recorded sessions on the following topic areas:

* Community Voice
* Wellness Action Planning
* Embracing Diversity
* Fostering Equity
* Social Emotional Learning
* Kinesthetic Learning and Fitness Mental Health
* Healthy Tech Habits/Unplugging

HBHMI 2021 is sponsored by Pottstown Area Health & Wellness Foundation. Professional development credits may attainable through your district or possibly JBCA Consulting, LLC.

Please pre-register by filling out the information below. Session details will follow prior to the conference.

SAVE THE DATE FLYER: bit.ly/HBHMI2021Flyer

Email Address *

First Name *

Last Name *

School/Organization *

Brookeside Montessori

Boyertown

Coventry Christian

Daniel Boone

Holy Cross

Owen J. Roberts

Perkiomen Valley

Pope John Paul

Pottsgrove

Pottstown

Saint Aloysius

Spring-Ford

The Hill School

The Wyndcroft School

West-Mont Christian Academy

I am not part of an organization/attending on my own behalf

Other:

Position *

Check all that apply

Counselor

Health and Physical Education Teacher

Nurse

Parent of Student

Principal

School Board Member

School Building Wellness Lead

School Wellness Coordinator

Student

Superintendent / Head of School

Teacher other than Health/Physical Education

Other:

Required

Please share any information about what you would like to discuss / learn at the Institute. *

Do you have a disability or special need which requires our awareness for this virtual conference? *

Yes

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