Contact Us - Vital Intervention and Directional Alternatives

If you are a parent or guardian interested in learning more about our program, please fill out the form below and a VIDA representative from your area will get in touch with you.

To volunteer at your local VIDA site, please contact the VIDA staff at the location near you.

Community-based organizations that would like to help create change in Los Angeles: Please contact VIDA supervisors at vida@lasd.org.

Sponsors and corporate donors: Please contact VIDA supervisors at vida@lasd.org.

Minor's Information

Name(Required)

First Last

Date of Birth

Gender

How were you referred to VIDA?

Reason you were referred to VIDA?

Parent or Guardian's Information

Parent/Guardian's Name(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Home Phone

Cell Phone

Minor's Education

School Attending(Required)

Grade

Counselor

GPA