Family-to-Family Class Registration Form
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Email *
Todays Date *
MM
/
DD
/
YYYY
What is your relationship to the person who has a mental health condition *
e.g. you are the mother/brother/uncle of the person who has a mental health condition
Required
Provide the age of the person living with a mental health condition *
Select the gender of the person living with a mental health condition *
Required
Ethnicity/Race of the person living with a mental health condition
Provide the diagnosis of the person living with a mental health condition  (select all that apply)
Name of the person taking the class *
e.g. your first and last name
Phone number of the person taking the class *
e.g. 123-456-7891
Address of the person taking the class *
e.g. 1234 Street Lane Dallas, TX 12345
Email of the person taking the class
Select the class location *
Please choose from our list of locations as shown on www.namidallas.org 
Required
Will anyone else be attending the class with you *
Required
If you selected yes to the question above, please provide the first and last name of the person *
If you selected no to the question above, please put "N/A" in the text box below
How did you learn about NAMI Dallas *
Required
Details on our registration follow-up phone call to you
Thank you for registering for our NAMI Dallas Family-to-Family (F2F) class. Please be advised that one of our F2F teachers who will be teaching your class will contact you using the contact information you provided prior to the class start date to speak with you in regards to your registration for this F2F class.

The purpose of their call is to:

A. Confirm that you are still planning on attending the F2F class

B. To provide you with any details about the F2F class you may need in order to get there

C. To be sure that the F2F class fits your needs.

In the meantime please be sure to view our family support group meeting schedule located at http://www.namidallas.org/family-support-group.html and go and check out a family support group meeting closest to you as your schedule allows in order to gain support from others who have been where you are and can share their experience, strength, and hope with you. Thank you for patience in this registration process and we hope to see you soon. Take care.
A copy of your responses will be emailed to the address you provided.
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