Parent Connect Series: Supporting LGBTQ+ Youth

Please complete the information below to register:

Your registration information

First Name *

Last Name *

Email (Primary) *

Phone (Primary) *

Is your child a client of Johnson County Mental Health Center?

Yes No

Childs name:

Date of birth:

If you answered no to the question above, please complete your date of birth below.

Parent/Caregiver Date of birth:

How did you hear about this training?