H2O Virtual Programs Interest Form for "Talk-it-Out" Students
Although schools are closing due to Covid-19 we at H2O would still like to keep building relationships with you and offering support. We will NOT offer our "Talk-it-out" discussion lessons until after spring break (April 3).

However, we will be still offering virtual support groups through video chat on Tuesday evenings from 7-8:30 pm. If you would like to be a part of those groups, complete this form so that we have your information we can use to send you a signup link which you will fill out each Tuesday before 6:00 pm if you would like to be in a virtual support group.

Also, we will be offering digital Good Clean Fun activities through video chat every Wednesday afternoon. For high schoolers that will be from 2:00-3:00pm and for middle schoolers from 3:30-4:30pm. Please fill out those sign up forms before 1:00 pm that day.

Please feel free to reach out to us by email (info@hearthavenoutreach.org) with any questions that you may have!
Email address *
First Name *
Your answer
Last Name *
Your answer
Student Id # *
Your answer
Cell Phone # *
Your answer
School: *
I would be interested in being involved in virtual support groups (Tuesdays 7:00-8:30 PM) *
I would be interested in being involved in virtual Good Clean Fun activities (Wednesdays 2:00-3:00 PM for high school, 3:30-4:30 PM for middle school) *
Visit our website for more information: https://hearthavenoutreach.org/
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