Mental Health Matters Day School Group Registration Survey

Thank you for your interest in Mental Health Matters Day on March 10, 2027. Please fill out the information below, and we will begin preparing you and the school community you represent for a hands-on legislative experience in the state's capital, Albany.

We will contact you shortly after we receive this information. We look forward to working with you.

Your Contact Information

1.First Name(Required.)

2.Last Name(Required.)

3.Enter your email address(Required.)

4.Have you attended this event before?(Required.)

Yes

No

5.Are you planning to attend with a group of students?(Required.)

Yes

No

Information about the School Community You are Representing

6.School District(Required.)

7.School Name [Please carefully spell out name.](Required.)

8.School Street Address(Required.)

9.City(Required.)

State: New York

10.Zip Code(Required.)