Assertiveness Training Group Interest Form

This group helps you set boundaries, speak up for your needs, and improve your relationships. Through practical tips and exercises, you'll gain contidence in expressing yourselt clearly and respectfully. You'll practice in a supportive environment, get feedback, and connect with others on the same path. By the end, you'll have a toolkit for managing conflicts and building stronger, balanced relationships.

Please fill out this form to indicate your availability and preferences- thank you!

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Email *
Name of Participant   *
Age and Grade (if applicable) *
Pronouns  *
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Contact person for sign up (if different than participant) 
Best Phone Number
What days and times is the participant able to attend? (select all that apply) *
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1pm
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7pm
Other information we should know (diagnosis, sensory issues etc.)
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