(617) 929-1037
contact@healthy-futures.org

Submitting this form and requesting the Healthy Futures Program does not guarantee the date or availability. Someone will be in touch with you following your request to confirm the time or to work out a different time based on availability.

The more information you can submit now, the more quickly we will be able to schedule your classes.

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6th 7th 8th 9th 10th 11th 12th

Would you like your students to participate in Pre/Post Surveys that measure attitude and knowledge changes, and receive a report for the changes seen in your school?
            Yes
             No

Please check the equipment that can be available for use:
              TV/VCR
              Projector Screen
              White Board/Paper Flip Chart