top of page

PROGRAM REGISTRATION

Sign up for program participation by filling out the form below. You may be contacted about taking part in program events and/or activities. All information is kept private.

To learn more about our programs:

NMRD Participant Registration

Participant Birth Date
With whom does participant live with?
Is participant involved in court system?
Highest completed grade in school:
5th
6th
7th
8th
Some Highschool
All of Highschool
GED
Some College
College Grad
Other
What kind of work is participant interested in?
Participant has transportation:
Is participant interested in or in need of counseling?
Yes
No
Other

The above signed person agrees to participate (or allow participation) in No More Red Dots events or activities and in doing so releases No More Red Dots and its associated organizations from any responsibility, liability and/or litigation resulting from their participation.


For more information and/or questions please email: contact@nmrd.info

bottom of page