Register for Online SupportCheck our calendar for available dates. Date of Session * MM DD YYYY Select Connection or Family Support * Select one Connection Support Family Support Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact * First Name Last Name Emergency Contact Phone * (###) ### #### I understand the NAMI facilitator may contact my emergency contact in the case of an emergency. * Yes, I understand. Thank you!
