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Support Group Registration with Building Military Families Network

Building Military Families Network is a nonprofit organization whose mission is to provide an empowering and supportive network to military and veteran families navigating the challenges in the family building process through support groups, education, and resources.

Your responses on this registration form are confidential, and Building Military Families Network does NOT share this information with any outside organizations or persons. What you choose to share with your group is up to you.

***Our support groups are not, and are not intended to be, medical, psychological, or other professional health care treatment services or therapy services, and no client/therapist relationship is formed by your participation. Participation in the Building Military Families Network support groups is not a replacement for private counseling or a professionally-led support group.
1.What is your first name?(Required.)
2.What is your last name?(Required.)
3.At what email address would you like to be contacted?(Required.)
4.In what ZIP code do you currently live in? (enter 5-digit ZIP code; for example, 00544 or 94305)(Required.)
5.Current duty station or location? If veteran or veteran spouse write N/A.(Required.)
6.What is your military connection?(Required.)
7.If you selected other, please specify below.
8.What military branch are you affiliated with? Check all that apply.(Required.)
9.What military component are you affiliated with? Check all that apply.(Required.)
10.What is your relationship to family building? Check all that apply.(Required.)
11.If you selected other, please specify below.
12.Which peer support group(s) are you interested in joining?(Required.)
13.How did you hear about our support groups?(Required.)
14.Emergency contact name, relationship to participant, and phone number.***Information provided will only be used in emergency situations.(Required.)
15.Building Military Families Network does not allow researchers, students, professionals, etc. to participate as an observer in our support groups for any reason. Contact us on our website buildingmilitaryfamiliesnetwork.org to submit a research study or other requests. By selecting "I understand" option below, you confirm that you understand and agree to these terms.(Required.)
16.Building Military Families Network support groups are not, and are not intended to be, medical, psychological, or other professional health care treatment services or therapy services, and no client/therapist relationship is formed by your participation in our support groups. Participation in the Building Military Families Network support groups is not a replacement for private counseling or a professionally-led support group.(Required.)