Become A pTF partner

By filling out this form you are illustrating your intent to become a Play Tobacco Free Partner.

 
Name *
Name
Address
Address
Phone
Phone
If you do not currently have a written policy, do you agree to implement a tobacco-free policy within one year of becoming a Play Tobacco Free Partner? *

Our contact information:

Unified Government Public Health Department

619 Ann Ave
Kansas City, KS, 66101

913-573-8871

rgarza@wycokck.org