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.

Unless noted otherwise, all training will be held at the Rappahannock United Way located at 3310 Shannon Park Drive, 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.
(One scheduled exception is November 15, 2017 which will be held from 8:00 a.m. to 5:00 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 recieve 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. 100).

Thank you.

Email address *
Full Name (First, Last) *
Your answer
Phone Number *
Your answer
Mailing Address: *
Your answer
Organization or Company Name *
Your answer
Position Title *
Your answer
County of Residence *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Dietary sensitivities (please be as specific as possible) *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms