Registration for the Youth Tobacco Survey Listening Session in Petersburg, IN 

Registration for YTS Listening Session in Petersburg, IN

Thank you for your interest in the Youth Tobacco Survey Listening Session in Petersburg, IN! 
The event will take place at the Elmer Buchta Technology Center on Thursday, September 14th from 9-10:30 am. 
1.Name:(Required.)
2.Email address
3.County of Residence:(Required.)
4.Will you be bringing any family members or other guests with you? If so, please list their names below.
5.What questions do you have about youth tobacco use (including vaping) that you would like to have answered during the event?