NAMIWalks 2022 Kickoff & Rally Registration

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Please complete the registration below for the NAMIWalks 2022 Kickoff & Rally.

Date: Saturday, March 19
Location: Orvene S. Carpenter Community Center (550 Park Avenue, Port Hueneme)
Time: Registration & Lunch begins at 12:30pm, Program begins promptly at 1:15pm

Please Note: This is the registration ONLY FOR NAMIWalks 2022 KICKOFF EVENT. Please ALSO register for the NAMIWalks event at www.namiwalks.org/venturacounty

NAME (First, Last) *

Mailing Address

Email *

Phone *

For 2022, do you intend to be a:

Team Captain

Team Member

Individual NAMIWalker

I'm Not Sure Yet

Have you participated in NAMIWalks before?

Yes

Yes, but with an affiliate other than Ventura County

Clear selection

If you are returning, what team/s have you registered with in the past?

Are you interested in information regarding:

NAMIWalks Sponsorship

Having A Resource Table on NAMIWalks Day

Other:

Clear selection

Are you a first responder (Law enforcement, Fire, EMS, etc.)?

Yes

Clear selection

Do you need a vegetarian lunch?

Yes

Clear selection

Submit

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