Registration for NAMI Anne Arundel County Family to Family 8-week Class
Wednesdays 6:30pm - 9pm at Woods Memorial Presbyterian Church
611 Baltimore Annapolis Blvd, Severna Park, MD 21146 • January 18, January 25, February 1, February 8, February 15, February 22, March 1, March 8
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Are you over 18?
*
Yes
No
If you are under 18, please tell us your age.
What age is your loved one with a mental health condition?
*
What is your relationship to your loved one with a mental health condition? (Select all that apply if you have more than one loved one.) I am my loved ones:
*
Mother
Father
Sibling
Child
Spouse
Partner
Friend
Other Family Member
What is your loved one's diagnosis (if they have one) or symptoms that concern you?
Are you able to attend all 8 classes?
Submit
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