Mental Health First Aid Registration
Thank you for your interest in the Mental Health First Aid trainings offered by the Rappahannock Area Community Services Board. Please complete the form below to register for an upcoming training. RACSB offers both the adult and youth curriculum.

Training Dates and Locations for the remainder of 2019 and 2020:

Adult Mental Health First Aid:
- January 16-17, 2020: RACSB at River Club 10825 Tidewater Trail, Fredericksburg, VA 22408: FULL/CLOSED
- April 23-24, 2020: RACSB at River Club 10825 Tidewater Trail, Fredericksburg, VA 22408
- June 11-12, 2020: RACSB at River Club 10825 Tidewater Trail, Fredericksburg, VA 22408
- October 8-9, 2020: RACSB at River Club 10825 Tidewater Trail, Fredericksburg, VA 22408

Youth Mental Health First Aid:
- November 15, 2019; RACSB at River Club 10825 Tidewater Trail, Fredericksburg, VA 22408
- February 13, 2020: RACSB at River Club 10825 Tidewater Trail, Fredericksburg, VA 22408
- May 14, 2020: RACSB at River Club 10825 Tidewater Trail, Fredericksburg, VA 22408
- September 16, 2020: RACSB at River Club 10825 Tidewater Trail, Fredericksburg, VA 22408


Adult Mental Health First Aid
Adult Mental Health First Aid trainings are typically held over two days following this schedule:
Day 1: 8:30 a.m. to 2:00 p.m.
Day 2: 8:30 a.m. to 12:30 p.m.


Youth Mental Health First Aid
Youth Mental Health First Aid trainings are held in one day from 8:00 a.m. to 5:00 p.m.

**Please Note: You must be present for 100% of the class to receive your certification**

To learn more about the trainings or local mental health services, please visit www.rappahannockareacsb.org.

For questions regarding the registration process, please contact Jennifer Bateman, RACSB Prevention Specialist, (jbateman@rappahannockareacsb.org or 540-374-3337, ext. 7521).


Thank you.

Email address *
Adult Mental Health First Aid 2020 Dates: (Please chose the option that works best for you)
Youth Mental Health First Aid 2020 Dates: (Please chose the option that works best for you) *
Last Name: *
Your answer
First Name: *
Your answer
Phone Number (xxx-xxx-xxxx): *
Your answer
Mailing Address: *
Your answer
County of Residence: *
Zip Code: *
Your answer
Organization or Company Name: *
Your answer
Position Title: *
Your answer
RACSB staff members please provide RU# (non-RACSB staff members please use N/A). *
Your answer
Date of Birth: *
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/
DD
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YYYY
A nutritious lunch will be provided for you. This lunch may vary depending on location of the training and the availability of local catering options. Please let us know if you have any food sensitivities or food exemptions and we will do our best to accommodate you. *
Your answer
I understand that I will have to pay $25.00 (via check/exact amount) upon arrival. *
Required
Do you require an invoice? (If you are a RACSB employee you do not need to request an invoice. The cost of the training will be charged to your RU.) *If you require an invoice it will be sent to the email on your registration form.* *
A copy of your responses will be emailed to the address you provided.
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