Together, Tobacco Free!

Welcome! If you’re at this website, you’ve just taken the first step toward joining us in the fight against big tobacco. No butts about it, it’s time to take a stand.

If you’re ready to join us for any or all of the phases, please completely fill out the reply form below. Once we receive your reply, we’ll write back to confirm your attendance at the seminar.

Phase 1 – The Seminar
All seminars are held from 8:30am-3:30pm. You should plan on attending the entire seminar for certification as a Tobacco Prevention Advocate. Lunch will be provided, as well as a mid-morning snack. Since you know the date of the seminar and the time commitment in advance, you should be able to make arrangements with coaches, teachers, and parents to accommodate this one-day event.

If you'd like more information before you submit your form, click here for frequently asked questions.

Tell Us About Yourself:


School you attend:

Grade

Seminar - you'd like to attend

Interests/Skills you bring to the program (check all that apply)
Writer
Actor
Dancer
Singer
Visual artist
Painter
Designer
Technician
Musician
Health enthusiast
Science enthusiast
Leadership
Marketing
Advertising
Management
Education/Teaching
Activist
Peer Education/Role modeling
Other   

Phases of the program you plan to participate in

Questions and Comments:

By submitting this form you are agreeing to participate in the one-day Tobacco Prevention Advocacy Seminar offered by “Together, Tobacco Free!“ To earn your certificate of advocacy you will need to participate in the entire seminar. We will act on your behalf to get you excused from your classes. However, your participation is subject to approval by your school faculty (based on your school's absence and grade point average policy) and you may be required to approach your individual teachers for permission to be excused. By submitting this form you are also stating that you have the approval of your parents/guardians to participate.

"Together, Tobacco Free!"; is a partnership between the Campbell Union High School District and Guggenheim Entertainment, funded by the County of Santa Clara Public Health Department Tobacco Prevention and Education Program.


     



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