2023 Drug Ed Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thanks for you interest in this program!

We'll be using a Harm Reduction curriculum "Safety First" - meaning that this Drug Ed program 𝙄𝙎 𝙉𝙊𝙏 a "Just Say No" education. Instead, we go over the different legal and illicit drugs, their side effects, what safe usage would like if someone were to decide to use, how to recognize and respond to an overdose, and drug policies.

The next available sessions will take place this Summer 2023. Dates and timeslots have yet to be announced but we will be in touch once our registration opens and notify you.

As a reminder this is available only for youth and young adults

living in Fresno County ages 12 - 24.

There will be a total of 6 sessions

Each session is approximately 1h 45m.

𝗔𝗡𝗗 𝗜𝗧𝗦 𝗙𝗥𝗘𝗘

If you'd like more info please email Health Education Dept Manager, Michael Dominquez: michael@fresnobarriosunidos.org

What is your name? *

What is your age? *

What is your email? *

What is your phone number? *

How did you hear about Safety First? *

If you were referred by a friend or family member please put their first and last name.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Fresno Barrios Unidos. Report Abuse

Forms