2007 CPC Summit Interest Form - Zoomerang Online Surveys

2007 CPC Summit Interest Form

Questions marked with an asterisk (*) are mandatory.

The California Prevention Collaborative Summit provides an opportunity to bring together young people, community coalitions, educators, law enforcement, health professionals, community-based organizations, county alcohol and drug administrators and community members to take action to strengthen the alcohol and other drug prevention field and showcase evidence-based practices.

To be added to our mailing list so we can notify you when Registration opens, please fill out the form below.

First Name:
Last Name:
Organization:
Email Address:
Phone: