Virtual NAMI Family Support Group Registration Form 2nd & 4th Thursday

Please fill in the following form to express interest in joining NAMI Urban LA for our monthly Virtual NAMI Family Support Group.

This safe, confidential group offers free, virtual support for family members, partners and friends of people living with mental health challenges. Loved ones join a caring group of individuals helping one another by utilizing their collective lived experiences and learned wisdom. Participants can achieve a renewed sense of hope for their loved one living with mental health challenges. 

If you have any questions, feel free to call Rowena Rucker, at (323) 294-7814 (Ext. 105) or email rowenarucker@namiurbanla.org.

Support group dates - second and fourth Thursdays of each month:

Jan. 9th, 7pm-8:30pm

Jan. 23rd, 7pm-8:30pm

Feb. 13th, 7pm-8:30pm

Feb. 27th, 7pm-8:30pm

Mar. 13th, 7pm-8:30pm

Mar. 27th, 7pm-8:30pm


The Zoom link for this group will be displayed once you have submitted this form.
Sign in to Google to save your progress. Learn more
Email *
Name (First & Last): *
Phone number: *
ZIP Code:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of NAMI Urban Los Angeles.

Does this form look suspicious? Report