Family to Family Austin State Hospital Registration
Saturdays, September 9 to December 2, 2017 (no class November 25) from 1:00 p.m.-3:00 p.m., at the Nifty Fifty Diner/Canteen at the Austin State Hospital Campus at 4110 Guadalupe, Austin, TX 78751.
Registration is limited - each student must submit an individual registration form.
Name
Your answer
Email
Your answer
Phone number
Your answer
Address
Your answer
Diagnosis of family member living with a mental illness
Your answer
Age of family member
Your answer
Relationship to family member
Required
Are you or your loved one a veteran?
Current status or other information you would like to share:
Your answer
How did you hear about this class?
Your answer
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