Empowering Clergy to Partner in Substance Use Prevention, Treatment Support, and Recovery

Workshop Registration

Name

First Name

Last Name

Email

Phone

(###)

###

####

Workshop Session

Please select the session you will attend.

Thursday, May 23, 9:30 a.m., Good Shepherd Baptist Church, Petersburg

Thursday, September 26, 9:30 a.m., Bon Air Christian Church (Disciples of Christ), Richmond

Congregation Name

Congregation Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Denomination/Tradition

Funding for these workshops was made possible in part by a grant from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.