Teen Mental Health Workshop Registration

Teen Mental Health Workshop Registration — Form Fields

This registration template includes 9 fields. Register a teenager for a mental health and emotional wellness workshop covering stress, identity, and resilience. Free to customize and use on ZenBuild.

• Teen's Full Name (text, required)
• Parent/Guardian Name (text, required)
• Parent Email Address (email, required)
• Parent Phone Number (text, required)
• Teen's Grade (dropdown selection, required) — options: 6th, 7th, 8th, 9th, 10th, 11th, 12th
• Has the teen received counseling or therapy before? (multiple choice, required) — options: Yes, No, Prefer Not to Say
• Is this parent-initiated or teen-initiated? (multiple choice, required) — options: Parent Requested, Teen Requested, Both
• Workshop Format Preference (multiple choice, required) — options: In-Person, Virtual, Either
• Any specific concerns or topics you'd like addressed? (long text, optional)