Join us for our Teens for Courage Virtual Summit
Saturday, Feb. 13, 2021

10:00-11:00am ET

Teens for Courage Virtual Summit Registration

When: 02/13/2021 10:00 AM - 11:00 AM

Students attending the Virtual Summit will receive a one hour volunteer credited certificate for high school requirements.

* Indicates required field

Registration Form

First Name *
Last Name *
Email Address *
Phone Number *
High School *
Instagram handle

To serve you better, please answer the following questions which are completely voluntary.

I know the difference between healthy and unhealthy behaviors while dating?
It is o.k. to check one's partner's cell phones, emails or social networks without permission.
Emotional/Verbal Abuse: involves non-physical behaviors such as insults, threats, shouting, isolation, and constant monitoring.
If I notice a friend is involved in an abusive relationship, I am likely to tell him/her how I feel about it.
I know who and where to report Domestic Violence/Intimate Partner Violence.
I am likely to be involved in a Domestic Violence Awareness program at my school.
I hereby grant the Jamie Kimble Foundation for Courage permission to use my likeness in a photograph in any and all of its publications, including but not limited to all of the Jamie Kimble Foundation for Courage's printed and digital publications. I understand and agree that any photograph using my likeness will become property of the Jamie Kimble Foundation for Courage and will not be returned. *