• NAMI Virginia 2026 Mental Health Conference Registration

    Collaborate with mental health professionals, peers, and family members at the NAMI Virginia 2026 Mental Health Conference! The one-day conference features networking, workshops, and panel discussions. NAMI Virginia will host the annual statewide Mental Health Conference on Friday, September 25th from 9:00 am - 4:00 p.m. at Boar's Head Resort in Charlottesville, Virginia. Please fill out the information below to register for this event.

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  • Describe your relation to mental health*
  • Will a minor be joining you?*

  • Youth Information

  • For participants under 18, we are required to have a parent or guardian consent form before the individual can participate. Please note that NAMI Virginia does not provide onsite childcare.

  • Youth Date of Birth*
     - -
  • Format: (000) 000-0000.

  • Parent/Guardian Permission Agreement

  • I fully understand, appreciate, and assume all of the risks associated with their participation. In exchange for my child’s participation, I hereby agree to the following:

    I voluntarily waive, release and hold harmless NAMI Virginia, its officers, employees, agents and other volunteers from any and all claims, causes of action and damages for bodily injury or death that my child may suffer as a result of, or in any manner connected with, directly or indirectly, his/her participation as a NAMI Virginia program participant when such bodily injury or death is the result of his/her own negligent or intentional acts or omissions or those of another program participant. I understand that this waiver and release precludes my right to recovery of damages in the event he/she is injured in the course of participating in a program of NAMI Virginia.

    Indemnification: In consideration of the opportunity afforded to my child as a participant at the NAMI Virginia Mental Health Conference, I agree to indemnify, hold harmless, protect, and defend NAMI Virginia against any and all liability, actions, causes of actions, costs, and expenses arising in connection with any claim for injury, death, or property damage arising or resulting from or connected with my child’s acts or negligence while participating as a program participant.

  • Date*
     - -

  • Video/Photo Release Form for Minor

  • By checking the box below, I hereby give my consent for the National Alliance on Mental Illness of Virginia (NAMI VA) the absolute right to use my child's biography, story, motion picture footage, still photographs, quotes and/or sound recordings of me for art, advertising, trade or any other lawful purpose whatsoever. This includes rights to print, reproduce, copy, distribute, rent, sell, loan, exhibit, publish and otherwise make full and free use of the film including said photographs and/or recordings. I hereby waive any right to inspect and/or approve the finished product or advertising copy that may be used in connection therewith or the use to which it may be applied for use. If my child's image or voice appears in a final edit, I hereby extend to NAMI VA the right to and permission to use my child's likeness and/or voice to be included in whatever form to use. I hereby release, discharge and agree to hold harmless NAMI VA, its legal representatives or assigns any and all persons acting under its permission or authority or those for whom it is acting, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any processing tending towards the completion of the finished product.

  • Date*
     - -

  • Video/Photo Release Form

  • Should be Empty: