Request edit access
2025 Youth Risk Behavior Survey (YRBS)       School Registration Form
Please complete this form and return it to the OPI indicating whether you plan to participate in the 2025 YRBS. If this form is not returned, your school will not be eligible to participate in the survey
Sign in to Google to save your progress. Learn more
Email *
School District  *
Superintendent: 
*
Superintendent's Phone *
Superintendent’s email: 
*

District Contact Person (this is the person responsible for administering the YRBS project): 

*
Contact Person's email 
*
Contact Person's Phone *
Will your district participate in the 2025 YRBS *
Required
If yes, Please list the enrollment for the each grades 7-8 *
If yes, Please list the enrollment for the each grades  9-12 *
Please return this form before March 1, 2025
For any questions about the YRBS contact Genie Zeeck – genie.zeeck@mt.gov or call 406-444-3178
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Office of Public Instruction.

Does this form look suspicious? Report