Presentation Registration Form
Welcome! We at are delighted that you are interested in one of our online seminars. Please complete this registration form. You will receive an email from NAMI a couple days before with the zoom link you can use to join the online meeting. Have questions? Connect with Mindy at 385.360.9822 or mindy@namiut.org
Today's Date
*
-
Month
-
Day
Year
Date
Select which presentation you wish to attend:
*
Family and Friends (informs and supports people who have loved ones with a mental health condition)
In Our Own Voice (gives insight into what it’s like to live with mental illness)
Please select a date to attend the Family and Friends Presentation (usually 2nd and 4th Thursdays):
*
October 10, 2024 at 7:00-8:30pm MDT
October 24, 2024 at 7:00-8:30pm MDT
November 14 , 2024 at 7:00-8:30pm MDT
Please select a date to attend the Our Own Voice Presentation (usually 1st and 3rd Thursdays):
*
October 3, 2024 at 7:00-8:00pm MDT
October 9, 2024 at 7:00-8:00pm MDT (UVU students only)
October 17, 2024 at 7:00-8:00pm MDT
November 7, 2024 at 7:00-8:00pm MDT
November 13, 2024 at 9:00-9:50am MDT (Utah Tech students only)
November 21, 2024 at 7:00-8:00pm MDT
Ending the Silence Presentations for Staff are currently on hold, but let us know if you want to be notified when they start again. These 60-minute presentations provide education about mental health and suicide prevention, along with resources.
Yes, I am interested! Email me when you have more information about them.
Ending the Silence Presentations for Parents are currently on hold, but let us know if you want to be notified when they start again. These 60-minute presentations provide education about mental health and suicide prevention, along with resources.
Yes, I am interested! Email me when you have more information about them.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
I am over 18 years old
*
Yes
No
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number:
*
How did you hear about NAMI Utah and this presentation?
*
I give NAMI Utah permission to send me emails (I can opt out at a later time):
*
(Initial)
Submit
Should be Empty: