If this is an emergency, please contact 4Four County Crisis at 1-866-995-9933, Kids Help Phone at 1-800-668-6868 or dial 911.
Full Name (required):
Parents / Guardians (If you're 18 & under):
Postal Code: (required):
DOB (DD/MM/YYYY): (required):
Phone #: (required):
Permission to leave message: (required):
Permission to mail information: (required):
Kids Help Phone:
1-800-668-6868 (Available 24/7)
Or, call police via 911
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