Register for the Take REAL Action Forum
The REAL Forum is an opportunity for you to learn about national and local drug trends, trauma and resilience, the brain science of addiction, and resources and programs available to help you in preventing substance abuse and supporting those in recovery.
-Thursday, January 31, 2019
-Carroll College Campus Center
-$20/person by January 23, $25 after that
-Lunch will be provided
First and Last Name
Faith Community, if applicable
Do you have any dietary restrictions? (Gluten, Dairy, Vegetarian, Vegan, etc.)
How would you like to pay the registration fee? Checks can be made out to Youth Connections.
Cash/Check (Will Mail to Youth Connections PO Box 4572 Helena, MT 59604)
Cash/Check (Will pay at the Forum-$25)
Cash/Check (Will drop off in an enveloped marked Youth Connections at the Helena Middle School Main office)
If you selected "Bill us" please provide your billing email address (if different from yours), and your billing address.
This question is completely optional and is used for reporting purposes. If you choose to answer, please check any and all of the demographics that you identify as.
Hawian or Pacific Islander
Active Duty Military Member
National Guard Member
Family Member of an Active Duty Military Member
Family Member of a Veteran
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Youth Connections Coalition.
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