Parent Event Registration Form
This event will take place at the Central Valley HS Auditorium on May 16, 2018. Please arrive at 5:30 to sign in and the event begins at 6:00.
What is your name? (First name only is ok if needed)
What grade(s) is/are your child(ren)?
Not enrolled in school yet
What School District are you from?
Big Beaver Falls
Did you attend the community events hosted at one of the 4 Beaver County sites this school year?
I attended a different event
On a scale of 1 to 10, how much do you know about drugs and drug abuse?
Nothing at all
How did you hear about this event?
School District Email Blast
What supports or services would you like to access or get more information from at this event?
Drug and Alcohol Addiction Support
Mental Health Services
Behavioral Health Services
Support for a child or family member
Support for self
Do you need childcare for the evening? If so please list number of children and ages.
The following questions are optional
Please note, as mandated reporters if you report something that falls under that statute, we must act on it.
Do you know of anyone who is using illegal drugs?
Do you need help or know someone who needs help?
If you answered "yes" or "maybe" to the previous question, please enter your name and contact information to get in touch with someone who can help you or someone you know.
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