1st Aid Adult Virtual

I am 18 years old or older. *

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You are registering for the Virtual Mental Health First Aid Adult class

This online, Zoom training will be held on

Saturday, October 29th, 2022

9:30am to 5:00pm

Registration fee: $50.00

Free for Lassen, Modoc, Plumas, & Sierra County Residents

Participants must be 18 years of age or older.

Mental Health First Aid, ASIST, and safeTALK are funded in part by a SAMHSA Mental Health Awareness Training Grant (No. 1H79SM084425-01). This funding is provided to deliver free training to individuals who are employed or are residing in Lassen, Modoc, Plumas and Sierra Counties in California. We invite individuals from other locations to join our training for a set reduced fee, payable upon registration via credit card or with purchase order confirmation.

Payment Type?

Credit Card Purchase Order
Purchase Order Number
Name of Person Authorizing Purchase Order

First Name Last Name
Organization
Phone Number

Area Code Phone Number
Billing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email of Person Authorizing Purchase Order
example@example.com

We cannot accept your registration unless you are 18 years old or older.

Thank you for registering for our Mental Health First Aid class.

Please click "Submit" below to finish your registration.
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