Youth Prevention Form

Y O U T H P R E V E N T I O N F O R M

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Organization (if applicable) *

Website (if applicable) *

What is the mission of your organization, business, group, or church? *

Who is the audience? *

Estimated Number of Attendees *

What are the ages of attendees? Created Gainesville can tailor presentations for minors. However, some material may not be appropriate for all ages. If parental consent is required, it is up to the organization to obtain. *

Venue *

Training Date and Time *

Alternate Dates *

How long would you like Created Gainesville to speak? *

What is the goal of this training and what do you hope the response will be from your attendees? *

Who else will be speaking at this training? *

Additional information for the training: *

Training Fee Provided: *

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S U B S C R I B E

U P C O M I N G E V E N T S

Coffee and Created
Friday, October 19, 2018 @ 6:00-7:00pm
Abundant Grace, 112505 NW 39th Ave, Gainesville, FL 32606
Join us for a coffee house fundraiser benefiting Created Gainesville! We will have coffee, snacks, games, and live music for your enjoyment!
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PO Box 6013, Gainesville, FL 32627 | (352) 870-8481 or 1 (855) 4-BE-FREE | contactus@createdgainesville.com

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Youth prevention form