Bridge Builders Kick Off Registration

Bridge Builders Kick Off Registration

Thank you for your interest in joining us to learn about Bridge Builders! Please note that this opportunity is only available to parents who are participating in or have graduated from an evidence-based home visitation program. If you're not eligible to attend this event but want to learn more about opportunities for parents, please email Carly at carlyh@aimhitn.org.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Are you currently enrolled in an evidence-based home visitation program?

Which Evidence-Based Home Visiting Program do you participate in?

What city do you live in? This will help us find your program!

Primary Language Spoken

Would you like to request interpretation services?

Which Bridge Builders Kickoff event are you registering for?

Registration for the in-person events have closed, but we'd love for you to join us at the virtual kickoff event. Please click the option below to register.

Number of adults attending (This number includes yourself and up to one additional adult)

Number of children attending

Dinner will be provided! Are there any allergies or dietary needs we should be aware of?

Please list any allergies or dietary needs.