Teen QPR Suicide Prevention Training (15 years +) September 07, 2023

Parents and Guardians Register Your Youth Here!

Description: 1-hour training for youth (15 years +) to learn how to recognize the warning signs of a suicide crisis and how to question, persuade, and refer someone to help.

This training will take place at District 2 Service Center from 5:30pm-7:00pm

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* 1. Please enter all your correct contact information. (complete all fields).

First & Last Name *

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number *

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* 2. District

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* 3. Please select which QPR training date for youth you will attend

Thursday September 07, 2023 at 5:30 p.m. - 7:00 p.m.

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* 4. *Emergency Contact (all participants are required to list an Emergency Contact to promote safety & support. Questions? Contact Traci Begay at 520-610-3497

Emergency Contact Name

Emergency Contact Phone Number

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* 5. I,_________________________, the parent/guardian grant permission for this suicide prevention training. I have provided my contact information below for BHS Prevention Program to contact me by phone call for verification of permission.

Name of Parent/Guardian

Email Address

Phone Number