Kent County Health Department: 2020 be nice. Faith Registration
Please fill out the registration page below. We look forward to hosting you and members of your congregation.
Address: 700 Fuller Ave NE, Grand Rapids, MI 49503 (Park in an open parking spot, come in and take either the elevator or stairs to the basement level floor- there will be signs leading you to the training room).
For questions regarding this faith training, please contact the Faith Program Coordinator
Hilda Martinez-Gutierrez at
or call 616-389-860.
Name of Congregation
First & Last Name or Preferred Name (person responsible for submitting registration form & payment)
Please describe your role (faith leader, staff, passionate parishioner, etc.)
Which date and timeframe for the Kent County Health Department location do you plan on attending? Each congregation may bring up to 6 participants total.
March 4, 2020 from 9:00-1:00 pm
March 18, 2020 from 9:00-1:00 pm
I understand that I will have to pay $125 upon arrival- we accept credit card and check payments.
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This form was created inside of Mental Health Foundation of West Michigan.