SUBSTANCE USE PREVENTION COALITION OF COLLIN COUNTY
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Preregistering will save you time as you arrive at the event. A separate check in will be reserved for you.
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Indicates required field
Name
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First
Last
Email
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Phone Number
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How did you hear about the forum?
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Friend
School
News Media
Social Media
Forum Sponsor
Other
Age of Oldest Child
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Preschool
Elementary
Middle School
High School
Graduate
CEU's Requested? *Ask at registration regarding this. You will have a separate sign in/out and complete an evaluation in order to receive a certificate.
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No
Yes
City
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Name of Spouse (if also attending)
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Referral Specifics
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Suggested Panel Question(s)
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Attending as
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Parent
Professional
Community Member
CEU Needed
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LPC
Social Work
LCDC
LMFT
Submit
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