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MHFA Registration
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1.
What is your first name?
(Required.)
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2.
What is your last name?
(Required.)
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3.
What is your email address?
(Required.)
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4.
Please enter your mailing address. (Street number, city, state, zip)
(Required.)
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5.
What is your phone number?
(Required.)
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6.
To ensure participant safety and program fidelity, virtual learners are required to have their camera enabled on Zoom at all times. If you must step away from the computer, please contact the trainer via chat box. Do you agree to this requirement?
(Required.)
Yes
No
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7.
Virtual MHFA training requires approximately one hour of self-paced, online pre-work. You will receive a link to your training via email. If this training is not completed at least 24 hours before the live training date, you will be removed from the training and will not receive a refund. Do you agree to these terms?
(Required.)
Yes
No
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8.
I attest that I have submitted payment in the amount of $50 per class to the following link:
hpmhc.com
(navigate to Bill Pay in the top menu)
Enter code MHFA in Client ID field
(Required.)
Yes
No
I need assistance. Please contact me.
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9.
Which training are you signing up for? (Select preferred date)
(Required.)
11/4/25 Youth MHFA
1/12/26 Adult MHFA
3/11/26 Youth MHFA
5/6/26 Adult MHFA
10/8/26 Youth MHFA
10.
Name of organization or business (if applicable)
