Mental Health First Aid – Registration 2017-2018 Posted on September 1, 2017, updated on September 1, 2017 by Zach Thomas Mental Health First Aid Registration Name* First Last Select Course* October 4&5, 2017, Mental Health First Aid, 4:00-8:00 p.m. (Participants must attend both days to complete course.) January 11, 2018, Youth Mental Health First Aid, 8:00 a.m.-5:00 p.m. (For anyone who interacts with youth.) Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Please list your organization/field of work*Method of Payment* Cash or Check (Payable to ADAMHS) Purchase Order (Invoice will be provided at start of course.) Untitled* I agree. By checking the box above, I agree that my registration fee of $25.00 is required to participate in this training and must be received before the start of the training. If I register for this training and do not attend or do not cancel my registration at least one day prior to the training, I will be responsible for paying the registration fee in full.