RSVP- BYS Youth Workshop on Non-Suicidal Self-Injury

Bainbridge Youth Services Youth Mental Health Workshop

Bainbridge Youth Services is offering a specially designed, age-appropriate educational workshop for local youth in collaboration with nationally recognized youth mental health expert Dr. Janis Whitlock, PhD, MPH.

The workshop is being developed to help young people better understand self-injury, recognize when a friend may be struggling, learn healthy coping strategies, and know when and how to seek support from a trusted adult.

Please complete this form to indicate your interest in attending. Submission of this form does not guarantee registration until attendance details are confirmed. Additional information, including the workshop date, time, format, and eligibility requirements, will be shared with participants.

(October 15th 2026 at 3:20pm)

Ages 15-18

I would like to attend  *
email address
What is your name
What is your age? To attend you must be 15- 18 years of age
How did you hear about this event?
Clear selection
Comments and/or questions
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bainbridge Youth Services.

Does this form look suspicious? Report

Google Forms