Vibe Check Teen Mental Health Conference 2025 - School District
The following form should be completed by participating school districts according to the assigned districts spots of students. We ask for this to be completed no later than Friday February 21, 2025. There is no cost per student/advisor/chaperone. Breakfast and lunch will be provided with vegetarian and gluten-free options (all ingredients will be listed to avoid allergies).

On February 24 (Monday), we will ask for final student rosters so we can create name tags, build groups and assign chaperones. If you have any questions, please do not hesitate to contact:

Deep Singh - 559-647-4700 - deep@jakara.org

Schedule:
9-10am - Arrival/Breakfasts
10-10:30am - Welcome
10:30-11:45am - Breakout Sessions
11:45-12:30pm - Keynote
12:30-1:15pm - Lunch and Exhibits
1:15-1:45pm - Conclusion
1:45-2pm - Bus Departure
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Email *
Participating School District: *
Name of person completing this form: *
Title of person completing this form: *
Phone Number of person completing this form *
Email of person completing this form *
Total Number of Students Participating: *
List of School Names (Student Numbers): 
Ex. River Valley (12 students), Yuba City HS (48 students), etc.
*
Number of Chaperones Participating: *
A copy of your responses will be emailed to the address you provided.
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