Regional Advocacy Meeting - Ventura County
Complete and submit this form to register for the upcoming Regional Advocacy Meeting in Ventura County on Friday, August 16, 2019 from 9 a .m. - 3 p.m.. This meeting is open to all community members in Ventura County.
Email address *
Name (First, Last) *
Your answer
Phone Number (include area code) *
Your answer
Dietary restrictions? *
I identify as a (please select all that apply)
I identify as (please select all that apply)
If you are involved with a local NAMI Affiliate, please identify which one.
Your answer
If you are involved in any other organizations/groups, please list which ones.
Your answer
If you have completed any NAMI programs/trainings, please list which ones and the month/year you completed each one.
Your answer
Would you like to opt-in for NAMI California Advocacy alerts?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service