Grassroots Organization / Provider Registration Form

Many programs and efforts by area organizations have been educating and providing valuable information on the potential dangers of opioids, and the life-altering effects the drugs have on an addict’s and their loved ones' lives. This crisis continues to devastate so many families and communities, both emotionally and financially, in Schuylkill County and beyond.

Penn State Schuylkill and Lehigh Valley Hospital - Schuylkill have partnered to organize Opioids: The Crisis Next Door, a free conference which will be held on Saturday, September 21, 2019, at Penn State Schuylkill.

If you represent an organization, provider, or vendor who is aiding the fight against this crisis, we invite you to participate in the information fair that we're hosting during the conference. If you are interested in participating, please fill out the form below. Note: Due to space limitations, not all organizations will be approved to participate. Conference organizers will reach out to individual organizations with more information.

If you have any questions, contact Susan Faust at [email protected] or 570-385-6226.

Grassroots organizations / providers must register no later than Tuesday, August 20.