Youth Mental Health First Aid

REGISTRATION

To register, please email the information below to mdh.charlescountycsa@maryland.gov  or fax the completed registration form to 301-609-5749 Attn: LBHA. Registration Deadline: April 18, 2019.

Class size is limited to 25 participants. Individuals will receive an invoice for payment upon receipt of registration.

Questions? Call 301-609-5757

Name____________________________________________________________________

Phone number, if any _______________________________________________________

E-mail address, if any _______________________________________________________

Occupation and employer name, if any__________________________________________

Brief description of why you’re enrolling in the course: (examples: help family member or loved one, better serve clients/public with mental health issues, seeking general mental health information)

_________________________________________________________________________________

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Course Fee: $25 which covers the cost of Materials, Breakfast & Lunch.

Registration Form