NAMI Connection Registration
Date:         August 15, 2022
Time:         7:00 pm - 8:30 pm
Location:  IN PERSON AND Zoom at the same time
IN PERSON:   Christ Church United Methodist, 3440 Shroyer Road, Room 246, Kettering, OH

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Email *
Please indicate how you will be attending the meeting this date (GROUP PARTICIPATION IS BEST WHEN DONE IN PERSON) *
First Name *
Last Name *
Address (Please include City and Zip Code) *
Phone *
Are you a veteran or a family member of a veteran? *
How did you hear about us?
Use this space to let us know how you found us or if you have any questions.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of NAMI Montgomery County Ohio.