Registration Form

Please complete this registration form to reserve your participation at the Interactive Youth Mental Health Experience event on Thursday, June 8th at the Big Brothers Big Sisters building at  550 NW LeJeune Road, Miami, FL 33126. This event is sponsored by Project Bridge, the mental health promotion and training division of Hope for Miami. 

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* 1. Your First  Name

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* 2. Your Last Name

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* 3. Your Email 

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* 4. Your Phone Number

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* 5. Name of your professional organization (if applicable)

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* 6. Are you a parent? 

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* 7. Are you currently a student? 

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* 8. Please select the time frame when you believe you can attend this event (you may attend at another time if your schedule changes but this helps us in planning the activities at the Experience.)

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