EmailMe Form - Project Echo: Speak Out! Registration

Name *

First Last

High School *

Grade

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Phone *

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Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Parent Name *

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Parent's Email *

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Do you have any dietary restrictions?

Is there stigma at your school surrounding mental health?

Do you think teenagers have adequate access to mental health care in Idaho?

What are your favorite ways to relax?