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Just 2 Talk Registration

Sometimes it's nice “Just 2 Talk” to someone

First Name*

Last Name*

Email Address*

Cell Phone*

This number will be used to contact you about any changes or canceled meetings.

Address*

City*

State*

Zip Code*

Date of Birth*

Name of High School*

Grade*

Emergency Contact Name*

Relationship To Contact*

Emergency Contact Phone*

Emergency Contact Email*

Required Question: Would you like to have your emergency contact notified about information regarding this group?*

Yes No

Just 2 Talk

Must be in high school

No training agenda.

Designed to share life experiences and what you are thinking about or struggling with. We will work to support and encourage each other and be there for each other. We will be a safe place, keeping stuff private and welcoming to all.

Registration Required: Meetings are FREE!

DATES: Mondays, 6/17, 6/24, 7/1, & 7/8

TIME: Meet @ 12:00PM for snacks

MEETING: Talking group 12:30P - 1:30P

LOCATION: Elizabethtown Library, 10 S. Market St, Elizabethtown, PA 17022

ROOM: 2nd Floor Business Center

Thank you for Registering for Just 2 Talk