BPHC: "Youth Mental Health Podcast Session and Mixer" Registration Form

Please note: This event is part of the City of Boston's Mayor's Youth Week initiative. Mayor's Youth Week is  hosted by the Office of Youth Engagement and Advancement (OYEA) in collaboration with various community partner organizations, including the Boston Public Health Commission (BPHC).

 By registering for this event you are giving BPHC and OYEA permission to record, film/photograph, or interview you or any minor in your care or custody at this event and understand that images, interviews or other publications will be used strictly for non-profit, city government and/or other promotional purposes.   

Come join us for a special Mayor's Youth Week event hosted by the Office of Recovery Services and the Center for Behavioral Health and Wellness, both part of the Boston Public Health Commission. We're excited to share a unique mental health podcast created by youth, in collaboration with Dr. Kevin Simon, the Chief Behavioral Health Officer for the City of Boston. 

At the event, you'll get to listen to the podcast episode, ask questions to both the youth creators and Dr. Simon, and then enjoy a fun mixer with games, music, food, and drinks—all organized by youth. Don't miss this chance to hear the amazing work done by your peers! 

This event will take place on February 21st from 4:30-6:30pm at the ConnectedBoston space in Nubian Square (56 Warren St, Suite 201, Roxbury, MA, 02119). 

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Do you have any food allergies or dietary restrictions? 

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Do you consent to having your picture taken and potentially used for Boston Public Health Commission or City of Boston media purposes?  *
If you answered yes to the last question and are under the age of 18, please provide a parent/guardian email address for the release form to be sent to. 

Please input your own email if you are over the age of 18, or input "N/A" if you do not consent to having your picture taken.  
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