PREVENTION EDUCATION REQUEST
Thank you for your interest in our prevention education programs. Please fill out this brief form and our team will be in touch within 24 business hours.
TO ENROLL IN OUR PROJECT REWIND CLASS, PLEASE USE THIS FORM:
https://www.tfaforms.com/4863499
.
Name of School or Organization
School District (If applicable)
Street Address
City
State
Zip Code
Contact's Name
Title/Position
Email
Phone Number
Please select one:
Public School
Public School - Title 1
Charter School
Private School
Other (non-profit, religious organization, etc)
If other, please explain.
Who is the audience? (You can select more than one)
Youth (5th-12th Grade)
Parents/Adults
Faculty/Staff
Corporate Staff
Which 1-hour
Youth and Adult
Prevention Education Presentation topic[s] would you like? (You can select more than one)
Substance Use (includes Vaping, THC, Opioids, and Fentanyl education)
Teen Mental Health
Internet Safety
Bullying
Which
Youth
Multi-Session Program[s] would you like? (You can select more than one)
Botvins Life Skills Training
tMHFA - Teen Mental Health First Aid
CATCH My Breath (vaping prevention)
Resiliency Small Groups
# of presentations/sessions requested
# of audience members per presentation/session
notMYkid is a 501(c)(3) nonprofit organization. Any program fees are reinvested directly into our mission, allowing us to continue providing prevention education, behavioral health services, and support to youth, families, and communities in need.
Although we may have grant funding available to help cover program costs, we also value shared community partnerships. If your budget allows, are you able to contribute any amount toward the cost of programming?
Yes
No
Not sure yet
How did you hear about notMYkid?
By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.
Contact Information