QPR Sept. 27 at the Durant-Kenrick House

9:30 to 11:30 a.m.: QPR Training

The QPR Training will be held at the Durant-Kenrick House, 286 Waverly Ave. Newton.

This registration is for Sept. 27, 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

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

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* 5. I would like to participate in a tour of the Durant-Kenrick House following the training:

Yes

Question Title

* 1. Person attending training:

Question Title

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

Question Title

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

Question Title

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

Question Title

* 5. I would like to participate in a tour of the Durant-Kenrick House following the training:

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