PTS Workshops

Veteran attendees need to have had one or more Post-9/11 tour/s.

Your information will be held confidential and will not be shared outside of Operation Never Forgotten.

DON'T FORGET TO CLICK THE "SUBMIT" BUTTON AT THE END.

How Did You Hear About this Workshops?

Use of Alcohol:

I have no problem being without alcohol during this event. It will be difficult not drinking alcohol.

City of the Workshop You Want to Attend:

Veteran's Name:

First Name Last Name

Gender:

Male Female

Phone Number:

Area Code Phone Number

Number of Years Active Duty or Reserve Service?

Miltary Branch

Army Marines Navy Air Force Coast Guard

Military Status:

Active Veteran Reserves Retired

Tour/s?

OIF OEF Other

How Many Tours?

Served As:

Combat Arms Special Operations Other

MOS, AFSC, NEC:

End Date of Last Tour:

Month Day Year

Veteran E-mail:

Current Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Attending With Me:

I Need Child Care:

YES NO

Names and Ages of Children Attending:

Name of Caregiver, Family or Friend:

First Name Last Name

Their Phone Number:

Emergency Contact Phone Number If Different From Above:

Disabled Accommodations Needed:

YES NO

Have and Bringing My Service Dog:

YES NO

Any Activity Limitations?

Therapy or Treatment Status:

I or My Guest Have Food Restrictions?

YES NO

If YES, Please Describe:

What I Hope to Get Out of this PTSD Workshop:

Sharing & Support Learning About Resources Develop Better Living Skills & Coping Tools (better sleep, more patience, anger management, control triggers, etc.) Improving Marriage/Family/Caregiver Relationship/s Improving Health & Lifestyle Caregiver Support Comradeship Learning About Suicide Prevention Want to Become a Veteran or Caregiver Mentor

Interested In Becoming a Veteran Mentor If and When I am Able:

Yes No Maybe

Comments, Questions or Additional Information:

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