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Renew Group Registration Form
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Name *
DOB *
MM
/
DD
/
YYYY
Email Address *
Phone Number *
Which ACT group section would you like to attend? (offered 2/1/23 through 2/22/23)
Check all that apply.
Which Sleep Management group section would you like to attend? (offered 3/1/23 through 3/22/23)
Which Trauma Symptoms Management group section would you like to attend? (offered 3/29/23 through 4/19/23)
Which Anxiety group section would you like to attend? (offered 4/26/23 through 5/17/23)
Managing Crisis will be offered Wednesdays at 12pm until end of semester. Please indicate Yes if you wish to attend. (Note this is a one session informational and skill-building group.)
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