EmailMe Form - COMPASS Groton Registration

Name *

First Last

Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number

If listing one number, place a zero in the second field *

Cell Phone
Landline

*If you provide your cell phone number, the COMPASS team leader may text you regarding your session.

Best time to contact you? *

Email *

What session would you like to attend? *

How long have you been married to your Active-Duty Military Member? *

COMPASS registrants must be spouses of active duty military members.

Is your spouse Enlisted or Officer? *

Enlisted (E1 - E9)

Officer (O1 - O10)

This information is for administrative reporting purposes in order to apply for financial grants. It will be shared anonymously and will not include your personally identifiable information. The answer to this question will be encrypted and will not be shared with the COMPASS Team Members.

How did you hear about COMPASS? *