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Interest in Family-to-Family

Below is a short pre-registration form for NAMI Family-to-Family, an 8-session education and support program for family members, caregivers, and friends who support a loved one with mental illness.

By filling out this form you're indicating an interest in joining us for the next Family-to-Family course. A NAMI Juneau staff member will reach out to you as soon as the next Family-to-Family course details are available.

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Please share with us your family member's diagnosis(es) or what mental health challenges they are experiencing or have experienced in the past. *

What is the age of your family member? *

What do you hope to gain from attending NAMI Family-to-Family? *