QPR- November 9, 2016

1:30-3:30 pm: QPR Training

The QPR Training will be held at the Newton Senior Center on 345 Walnut Street, Newton. The training will be held in the Function Room on the Main Level. Light refreshments will be available.

This registration is for Wednesday, November 9, 2016.
If you want to register for another date visit www.newtonma.gov/newtoncares and click on the registration link for the date you want.

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* 1. Person attending training:

Name: *

Email Address:

Phone Number:

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* 2. I am a: (please choose all that apply)

Parent of a Newton Public Schools student

Parent of a private school student

Interested community member

Mental health professional

City of Newton Employee

Clergy or member of a Faith Based Organization

Andover Newton student/faculty/staff

Other (please specify)

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* 3. Please choose the category that best describes you:
(please note, this training date is intended for adults)

Age 18 to 29

Age 30 to 49

Age 50 to 69

Age 70 and older

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* 1. Person attending training:

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* 2. I am a: (please choose all that apply)

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* 3. Please choose the category that best describes you:(please note, this training date is intended for adults)

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* 4. If you are in need of a reasonable accommodation due to a disability, to attend this training, please indicate below.

* 3. Please choose the category that best describes you:
(please note, this training date is intended for adults)