Family Support Group Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

NAMI Family Support Group is a free peer-led support group for family members, partners, siblings, parents, friends, and other caregivers of people living with mental health conditions. A separate registration is required for each weekly group.

Choose the date you would like to attend: *

Registration is required for all support groups dates you'd like to attend. Registration information will not be shared and will only be used in the event of a mental health crisis. Must be 18+ to register.

First Name *

Last Name *

Email *

Phone Number *

Street Address, City and State *

(Just for our records. You're encouraged to take any program that suits your needs regardless of where you reside.)

County *

(Just for our records. You're encouraged to take any program that suits your needs regardless of where you reside.)

Travis

Williamson

Hays

Bastrop

Burnet

Caldwell

Other:

Please provide the full name and phone number of an emergency contact: *

Your privacy is sacred to us. We ask for this information in case it is needed in unforeseen, emergency circumstances.

Name, age & relationship to your loved one. Feel free to share diagnosis (if applicable)
*

Is this your first time attending a NAMI Central Texas Support Group? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of NAMI Central Texas. Report Abuse

Forms