Connection Recovery Support Group Registration Form
Connection Recovery Support group is for individuals who identify as having a mental illness and are 18 years and older.
First Name *
Last Name *
Phone Number *
Email Address *
I would like to attend the following meeting(s). Please check all that apply. *
Meetings are currently being held from 6:30-8:00 pm via Zoom. You must be on time to be admitted into the meeting. Rooms open at 6pm for technical support and socialization. The meeting starts promptly at 6:30.
First and Last Name of your Emergency Contact *
Phone Number of your Emergency Contact *
Are you a Bernallilo County resident? *
Are you a Veteran? *
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