Map of Idaho
ICHA Acronym

ICHA Name

"Working toward educational, economic, and social equality for Hispanics in Idaho"

 

Teenager Eagerly Eliminating Nicotine Substances

*** Registration Cost: FREE***

*Youth Name:


Please print your name.

*Male:

Please indicate with an "X".

*Female:

Please indicate with an "X".

*School:

* Age:

*Will Parent/Guardian
be attending?

If so, type Parent/Guardian name below:

* Youth Address:

* City:

* Zip Code:

* Parent Phone Number:

* Parent Email Address:

* Referred By:

Special Needs:

If you require special services, facilities, or dietary considerations (vegetarian or otherwise), please indicate your needs below:

* Required fields


A partnership between Idaho Commission on Hispanic Affairs and Project Filter


DATES:
July 8th, 2016
to
July 10th, 2016

 

LOCATION:
Red Lion Hotel Boise Downtowner
1800 Fairview Avenue
Boise Idaho
 

QUESTIONS:
If you have questions
or need more information
please contact us at
info@icha.idaho.gov
or call
(208) 334-3776
or (208) 332-1691

Copyright © 2011, ICHA. All rights reserved. An Equal Opportunity Employer