Interested in becoming a registered member of
Memphis Teen Vision? 
Please fill out the following form and
click the submit button!  It’s that easy!

Organization Name:

Contact Person:

Contact Number:

Contact E-Mail:

Organization Address:

Organization Web Address:

Vision Statement:

Mission Statement:

Programs for Teen Pregnancy Prevention:

Programs or Services for Pregnant Teens:

Programs or Services for Parenting Teens:

I am authorized to register my organization with MemTV:

Vision
A future where all teens are taught comprehensive sex education, teens' onset of sexual intercourse is delayed, teen pregnancies are reduced/eliminated, and teen parents are provided assistance.

Mission
Coordinated community response to teen pregnancy and parenting that includes:

• Comprehensive sex education for teens including abstinence and contraceptive information
• Services, support, and education to pregnant and parenting teens
• Strong policies and programs that promote adolescent sexual health

I have read and agree with the vision and mission of MemTV