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Education Registration / Registro para programas de educación
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* Indicates required question
Name
/
Nombre
*
Your answer
Last Name
/
Apellido
*
Your answer
Which class are you registering for?
¿Para cuál clase se está registrando?
*
Family to Family / Familia a Familia
Peer to Peer / Persona a Persona
NAMI Family & Friends
NAMI Homefront
Do you want the in-person or virtual class?
¿Quiere la clase persona a persona o virtual?
In-person / persona a persona
Virtual
Clear selection
In which language would you prefer to take the class?
¿En qué idioma prefiere aprender?
*
English
Español
Email Address / Correo electrónico
*
Your answer
Phone Number
/
Número del teléfono
Your answer
Age
/
Edad
*
18-24
25-34
35-44
45-54
55-64
65+
Decline to answer/Sin respuesta
Gender / Sexo
*
Male/Hombre
Female/Mujer
Nonbinary/Ningúno de los dos
Decline to answer/Sin respuesta
Racial or Ethnic Background / Raza o etnia
*
Black or African American/Negro
White/Blanco
Hispanic/Latino
Asian American/Pacific Islander
Native American/Alaska Native
Middle Eastern/North African
Multi-racial/Más de uno
Other/Otro
Decline to answer/Sin respuesta
Required
In what city do you live?
¿En qué ciudad vive?
*
Your answer
In what county do you live?
¿En qué condado vive?
*
Kane
DeKalb
Kendall
McHenry
DuPage
Cook
Will
Other:
Are you a veteran?
¿Es usted veterano?
*
Yes/Sí
No
Have you attended a NAMI KDK class before?
¿Ha atendido a una clase de NAMI KDK?
*
This is my first time! / Es mi primera vez
I've been here before! / Ha atendido
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