Alcohol Policy Panel Breakfast
Please share your contact information to register for the Alcohol Policy Panel breakfast on Friday, June 15, 2018 from 9:00 a.m. to 11:00 a.m. Attendees are required to pay a $10.00 registration fee for this event in advance using Paypal. Please register on or before Monday, June 11, 2018.
This event will be held at the North Inland Live Well Center:
649 W. Mission Ave, Escondido, CA 92025
Organization, Agency, or Community Affiliation
Please use the following PayPal Link to pay the $10 RSVP fee
Continental breakfast will be included
PayPal Receipt Number or Name of Person/Organization that will be paying on your behalf
If you are registering or paying on behalf of your staff/colleagues, please list their names below
Please specify which regional organization invited you
North Coastal Prevention Coalition (Vista Community Clinic)
San Dieguito Alliance for Drug Free Youth
North Inland Community Prevention Program (Mental Health Systems, Inc.)
North City Prevention Coalition (SAY San Diego)
Central Region Prevention Coalition (SAY San Diego)
South Bay Community Change Project (Institute for Public Strategies)
East County Community Change Project (Institute for Public Strategies)
Binge and Underage Drinking Initiative (Institute for Public Strategies)
City, State of Workplace
What sector do you represent?
Alcohol and Other Drug Prevention
Elected or Appointed City Official
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of Institute for Public Strategies.
Terms of Service