CiviCRM - Healthy Futures of Texas

We look forward to hosting you at the 9th Annual South Texas Adolescent Health Summit. If you have any questions about this event, please contact Melanie Chasteen at mchasteen@healthyfutures-tx.org or 512.791.5110 (text is best).

Registration Information

First Name *

Last Name *

Professional Credentials

Email (Work) *

Organization *

Job Title *

City (Work) *

State (Work) *

Please write in any accommodations you may require.

Event Fee(s)

Registration Fee

August 25-26 Registration Fees - $ 75.00: Registration fee covers two days of programming (August 25 virtual and August 26 in person). Fee covers continuing education certificate, and breakfast and lunch on August 26.

August 25 - Virtual Day Only - $ 25.00: Registration Fee covers virtual day programming on August 25 only. Fee covers continuing education certificate.

August 27 Making Change™ Pre-Summit Workshop - $ 75.00: Registration fee covers light breakfast and lunch on August 27 and continuing education certificate. Making Change™ is an immersive, interactive simulation designed for professionals committed to driving meaningful change within youth-serving settings. Structured as a dynamic training experience, this facilitated learning environment allows participants to strengthen their leadership and change-management skills in a realistic yet low-risk setting. Seats are limited—reserve your spot today! This exclusive experience is valued at $250.

Total

Sector/Role Information

Your current organization type (check all that apply): *

Other Sector *

Other *

Healthy Futures of Texas is working to evaluate our impact through our training and technical support department. The questions below help us understand how many young people we reach both directly and indirectly.

Impact Information

Please estimate: How many young people between the ages of 10-24 do YOU DIRECTLY serve, teach or otherwise work with annually? Enter 0 if this does not apply to you. *

Please estimate: How many young people between the ages of 10-24 does YOUR ORGANIZATION serve, teach or otherwise work with annually? Enter 0 if this does not apply to you. *

Food Preferences

Food preferences (check all that apply)

Vegetarian

Vegan

Gluten free

I do not eat pork

Other food preferences

9th Annual South Texas Adolescent Health Summit

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