NAMICon 2024

Attendee Registration Form

First Name

Last Name

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Phone Number

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Address

Will you be attending NAMI Alliance Day on Monday, June 3? Alliance Day is specifically designed for our NAMI State and Affiliate staff and volunteers.

What is your primary area of work with NAMI? Choose one.

What NSONA are you affiliated with?

How did you hear about this year's NAMICon? (Select all that apply)

How many NAMICon's have you attended?

Which of the following BEST describes you?

What aspects of the convention are most appealing to you? (Select all that apply)

Do you plan to attend the Welcome Networking Reception on Monday, June 3rd?

Do you plan to attend the NAMI Closing Night Event on Wednesday, June 5th? Note: One (1) ticket is included with the purchase of a full convention registration.

Do you have any dietary restrictions?

Please mention allergies

Do you have any accessibility requirements?

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See our Privacy Policy for more info!

How old are you?

What's your race, ethnicity, or origin? (Choose all that apply)

Which most closely describes your gender? (Choose all that apply)

What's your sexual orientation? (Choose all that apply)

Have you ever served on active duty in the U.S. Armed Forces, Reserves or National Guard?

Refund amount

Refund date

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Internal Notes

NAMI's Code of Conduct

NAMI's Terms of Use

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NAMI is committed to providing a safe, productive, and welcoming environment for all meeting participants and NAMI staff.

Please check the box to acknowledge the terms:

By checking here, you have read, understood and agreed to adhere to the NAMI's Code of Conduct, NAMI's Terms of Use, and NAMI's Privacy Policy.

By checking here:

you would like to share your contact info with local NAMI Affiliates and/or State Organizations.

Ticket Type

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