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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

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?