Kent County Health Department:                        2020 be nice. Faith Registration
Please fill out the registration page below. We look forward to hosting you and members of your congregation.

Address: 700 Fuller Ave NE, Grand Rapids, MI 49503 (Park in an open parking spot, come in and take either the elevator or stairs to the basement level floor- there will be signs leading you to the training room).

For questions regarding this faith training, please contact the Faith Program Coordinator
Hilda Martinez-Gutierrez at hildagutierrez@benice.org or call 616-389-8601.
Sign in to Google to save your progress. Learn more
Name of Congregation *
First & Last Name or Preferred Name (person responsible for submitting registration form & payment) *
Please describe your role (faith leader, staff, passionate parishioner, etc.) *
Email *
Which date and timeframe for the Kent County Health Department location do you plan on attending? Each congregation may bring up to 6 participants total. *
Required
I understand that I will have to pay $125 upon arrival- we accept credit card and check payments. *
Required
How did you hear about the be nice. Faith training? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mental Health Foundation of West Michigan. Report Abuse
Google Forms