Youth Mental Health Summit

Youth Mental Health Summit Event Registration Form

The Youth Mental Health Summit is an empowering event for 8th graders through high school students, designed to create a safe space to learn, connect, and build skills that support mental and emotional well-being. With a special focus on easing the transition from middle school to high school, the summit helps bridge the gap and reduce the stress that can come with this important milestone. Dinner will be served as part of the evening.

* FAMILIES ARE WELCOMED TO ATTEND *

Participant

Name

First

Last

Date of Birth

Grade (youth only)

Gender

Race

Current School and/or Organization/Affiliation

Food Allergies

Parent/Guardian Full Name (required if under 18)

First

Last

Parent/Guardian Phone Number (required if under 18)

(required Parent/Guardian Allergies

Parent/Guardian Email (required if under 18)

I give permission for my child to participate in the Youth Mental Health Summit and acknowledge that dinner will be provided during the event.

Signature

Clear Signature

Youth Mental Health Summit Event Registration Form

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