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Circle of Security Parenting Group Information Request
Event Timing: Beginning Early 2023
Event Location: Saint Charles County, MO
Contact Abigail (Abby) Ortego, PLPC: (636) 336-2346 or aortego@generations-counseling.com
To learn more about Circle of Security International: https://www.circleofsecurityinternational.com/
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Caregiver Name *
Phone *
Second Caregiver's Name (if also interested)
Second Caregiver Email
Second Caregiver Phone
In what category of caregiver are you? *
Required
What is Circle of Security Parenting?
This group is an 8-week reflection group that is intended to provide caregivers a space to reflect on their own attachment histories while also looking at the attachment history forming for their child(ren) ages 4 months-6 years. If you have a child close in age to this range, but not within it, you are welcome to fill out this form and contact Abby to discuss your specific situation.
**This group is not therapy, nor is it a replacement for therapy or court-mandated parenting courses.**
Please visit the website listed at the beginning of this form for more detailed info on COSP. 
Further COSP Info from COS International

At times all parents feel lost or without a clue about what our child might need from us. Imagine what it might feel like if you were able to make sense of what your child was really asking from you. The Circle of Security Parenting™ program is based on decades of research about how secure parent-child relationships can be supported and strengthened.

Learning Objectives of the Program:

• Understand your child’s emotional world by learning to read the emotional needs

• Support your child’s ability to successfully manage emotions 

• Enhance the development of your child's self esteem

• Honor your innate wisdom and desire for your child to be secure
Please share your child(ren)'s age(s). *
Required
How did you hear about this reflection group? *
Please select your general availability. Select all that apply. *
Required
For the days you just chose, please specify per day the time of day you are most available. Choose from morning, midday, afternoon, evening; e.g. "Monday evenings, Tuesday midday and afternoon". *
Can you be available to attend all 8 weeks of the group, and/or arrange with Abby to make up for the lost time prior to attending the following week? *
Required
Please share one thing you hope to receive from attending a COSP reflection group.
Dietary restrictions (for snacks)
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I understand that I will have to pay a fee each week or one lump sum prior to the group commencement. I understand I will be informed of this fee before committing to signing up for a reflection group. *
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