Prevention Education Classes

Contact Form

*PLEASE NOTE: 

  • This form is only for Behavioral Health Services of Pickens County's Prevention Education Classes. 

  • If someone under 16 is participating in a class, a parent or legal guardian is required to sign paperwork with them. For the purposes of this form, please put the name of the minor in the name box and add the parent or legal guardian's name at the end of the form. 

  • For anyone over 16, the actual person taking the class will need to fill out this form to be contacted by the Prevention Department. 

Registration

To register, please take the time to fill out the information below.

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