Registration Form
This FREE 1 hour course will help you learn how to recognize someone in a mental health crisis and steps to prevent a suicide. By completing this course you will be eligible to receive a $200 voucher for a gun safe and a free ammunition lock box. More details will be given during the QPR Class.  Enter your information below to register.  *Must be a Wasatch County resident 18 yrs or older to qualify. 
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email *
Phone number *
Mailing Address (to verify residency)

 *
Course you are registering for. *
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms