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2026 Youth Mental Health First Aid Training hosted by Operation Impact of Atlanta

April 25, 2026
10:00 AM-3:00 PM

4667 N. Royal Atlanta Dr
Tucker GA 30084

Thank you for taking the time to fill out this registration form for the Youth Mental Health First Aid Training. This will help us prepare for your arrival.

We look forward to seeing you on April 25th, 2026, at 10:00 am

ENTER INTRODUCTORY STATEMENT (Describe survey, thank registrants, etc.)

CONFIDENTIALITY STATEMENT
Your responses are confidential and will be kept private to the fullest extent allowed by law. Any personal information you provide, including your name and email address, will be securely stored and used only by GCAPP for purposes related to this survey and follow-up communication. Individual responses will not be shared publicly.

CONTACT INFORMATION STATEMENT

By providing your contact information, you consent to GCAPP contacting you with information about programs, resources, events, and awareness initiatives related to our mission. Your information, including your email address, may also be used to support outreach and engagement efforts, such as connecting with you on social media. You may opt out of these communications at any time.

Participant Information

First Name

Last Name

Email

Phone

County of Residence

Zip/Postal Code

Year

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Race / Ethnicity

Gender

Personal Pronoun

Sexual Orientation

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CONSENT
Contact the Director of Evaluation and Research to ensure you have an appropriate consent statement for your event.

Consent to Participate

FOR ADULTS - GENERAL EVENTS
By registering for this event, I acknowledge that I am choosing to participate voluntarily and understand the purpose of the event. I understand that my information may be used in a confidential and aggregated manner for program improvement and reporting.

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Use of Photos and Videos at GCAPP events

By registering for this event, you acknowledge that photos and videos may be taken throughout the event and used for GCAPP’s promotional, educational, and outreach purposes, including but not limited to social media, website content, and printed materials. If you have any concerns, you can contact general@gcapp.org prior to the event or notify a GCAPP staff member on-site.

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If you would like to share, please provide your social media handle(s). This information is optional and will only be used to connect with you about relevant content, programs, or community engagement opportunities.

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Every follow, like, or share helps extend our reach and strengthens our efforts to support and promote health for young people in Georgia.
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