NAMI Vermont Family-to-Family Registration
Let us know which Family-to-Family class you are interested in attending.
(click all that apply)
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Name
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Address/City/State/Zip
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County
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Phone Number(s)
(Please provide the best number to reach you and the best time of day to call)
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Email Address
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How did you hear about us?
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Are you a family member, close relative or friend of person who is living with a mental illness
Required
Is the person your son, daughter, spouse, sister, brother, parent, significant other, etc.?
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What is their primary diagnosis?
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Does this person live with you? If not, where do they live?
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Why are you interested in attending the Family-to-Family class or what are your objectives in attending?
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Do you need special accommodations?
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Thank you for your interest in the Family-to-Family class. Please note that this form does not confirm your registration. We will contact you soon to discuss the registration process.
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