NAMI Family-to-Family Course Registration
* Required
Email address
*
Your email
Tuesdays, 5:30 to 8 pm, January 12 - March 2, 2021 OR Saturdays, 9:30 am to noon, January 16 - March 6, 2021
Name:
*
Your answer
Mailing address (street, city, state, zip):
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Your answer
What county do you live in?
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Your answer
Phone number:
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Your answer
Choose your preferred meeting day/time:
*
Tuesdays, 5:30 to 8 pm, January 12 - March 2, 2021
Saturdays, 9:30 am to noon, January 16 - March 6, 2021
Your loved one who lives with a mental health challenge is your:
*
Spouse/partner
Child
Parent
Sibling
Other:
Briefly state your interest in taking NAMI's Family-to-Family course:
*
Your answer
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