Participant Registration

To sign up for participation please fill out and submit the form below. By registering you or participant are agreeing to be contacted about NMRD programs and available services provided through our partners. 

Your privacy is highly respected and information is kept confidential.

Protected by reCAPTCHA, Privacy Policy & Terms of Service apply.
Separate email addresses with a comma.
Submit

 

Your Registration is Submitted


Thank you, our team will message you as soon as possible.
 Contact us if you have any questions or concerns:  contact@nmrd.info

By clicking submit the submitter agrees to participate (or allow participation if participant is under 18) in LIFE Hope Center/ NMRD events and/or programs and in doing so releases the LIFE Hope Center and its associated organizations from any responsibility, liability and/or litigation resulting from their participation.

For more information and/or questions about the LIFE programs, please contact: 

Dr. Eddie L. Woods LIFE Hope Center (502) 262-4841 Email: contact@nmrd.info