NAMI Peer Meetups Interest Form

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Thank you for your interest in NAMI Santa Cruz Peer Meetups! Please fill out the form below to be notified about upcoming events.

* Indicates required question

Full name *

Your answer

Phone number *

Your answer

Your email *

Your answer

Do you identify as a person with a mental health condition or mental illness? *

Yes

Other:

Are you 18 or over? *

Yes

Other:

Do you live in or near Santa Cruz County? *

Yes

Other:

Please tell us a little bit about your interest in our meetups *

Your answer

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