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.
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: firstname.lastname@example.org