EDUCATIONAL RESOURCES REGISTRATION

Complete this form to preview The First Day film and educational resources including educator toolkit and lesson plans. There is no obligation to purchase the film or materials by completing this form.

Name*
First Last
Position or Title*
School Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Are you interested in purchasing the film for:*
- Single School
- School District
Are you currently using an evidence-based prevention program?*
- Yes
- No
If yes, what evidence-based prevention program are you using?