NAMI Solano County Family-to-Family Registration

Welcome! Thank you for your interest in the NAMI Family-to-Family program. This course is a free 8-week educational program for the family member(s) of a person living with a mental health condition.

NAMI Solano County is presenting the course online during the COVID-19 pandemic, using Zoom.

To sign up for this program, please complete one registration form per individual. After your registration form has been received, you will be contacted by NAMI Solano County and given additional information about the program.

The information received on this application will remain confidential. This form will submit your information electronically when you click on the submit button at the end.

Today's Date
Date Format: MM slash DD slash YYYY
Your Email Address*
First Name*
Last Name*
Phone*
Address*
Street Address City State Zip
Your ill family member’s relationship to you (brother, daughter, spouse/partner, father, etc.)*
Diagnosis (if known)
Family member’s age when first diagnosed or symptoms began
Family member’s current age
Does the family member currently live with you?
- Yes
- No
Do you have experience using Zoom (a platform for online meetings)?
- Yes
- No
How did you hear about the Family-to-Family program?
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