Student Mental Health Summit WAITING LIST
Date: October 8th, 2019
Location: The Lansing Center

Registration is on a first come, first serve basis. Registration has closed because we have reached capacity. Completion of this form will add your group to a waitlist. If we have spots open up we will fill them with groups accordingly by contacting the educator listed below.
School Name *
Your answer
School City *
Your answer
Name of Educator responsible for group (all communication will be forwarded to you). *
Your answer
Educator phone number *
Your answer
Educator email address *
Your answer
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