Information & Registration Page

***Please read all information before registering***

"You must complete this web form AND print out the consent form,

and BRING it to the event"

Teen Health Now Summit 2016

"THE FUTURE IS NOW:  OFF THE RECORD"

For ages 13-19 only.

Parents welcome - separate track for parents.

Under 18 must be accompanied by a Chaperone: center, church, teacher, parent, case manager, etc.

When
Where
Hixson Youth and Family Development Center
5401 School Dr
Chattanooga, TN 37343

Transportation Available

Pick Up From and Return To the Following Youth & Family Development Centers:
Washington Hills: Departs 10 AM, Returns 5 PM
Brainerd: Departs 10 AM, Returns 5 PM
East Lake: Departs 10 AM, Returns 5 PM

 

For More Information

Email KetreC@HamiltonTN.gov
or Call (423) 209-8319 or (423) 643-6480
Click Here for the Program Flier

 

Enter All Required Information (marked by RED tabs) about the Participant unless otherwise specified.

You must also CLICK HERE to view and print the ProHealth Consent Form in order

for your child to receive the free health screenings.  Bring the form to the event or send it with your child.

Disclaimer:

By completing and submitting this form, I am consenting for my son/daughter to participate in Teen Health NOW 2016 seminars, information sessions and interactive demonstrations. Information shared in these sessions may include sensitive material related to family planning, preventative health, demonstration models, graphics and statistics for the target population.