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Thank you for your interest in Howard County Health Department’s Tobacco Awareness

This free education program is designed for students who violate school policy on underage tobacco use. This program may also serve as primary prevention (education) for students, parents, educators, or general community members who are interested in learning more or may be concerned for a youth's risk of using tobacco products. This free program includes:

1. Information about the risks and harms of using:

- Tobacco (cigarettes, cigars, cigarillos, smokeless tobacco)
- Electronic Cigarettes
- Dissolvable Products
- Waterpipes/Hookahs
- Marijuana

2. Opportunity for students to assess their own patterns of use and to learn skills to adopt healthier lifestyles

Please complete this online enrollment form. Our Community Health Educator will respond within 3 business days upon receipt.

Question Title

* 1. Please complete the following information

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* 2. How did you hear about this program:
(Check all that apply.)


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* 3. Relationship to student: