Who's Dating Who?
Registration form for boys and girls ages 12-14. This group will meet at Holcomb Farm from 4 to 6 PM the week of July 13th. Blending outside play on the beautiful Holcomb Farm property with guided discussions over snacks exploring relationships, from friendships to dating. Participants will learn about healthy communiction, balance of power in relationships, and the signs of toxcicity and abuse in both friendships and dating. Parts of the nationally recognized, evidenced based Safe Dates curriculum will be used as a framework for our discussions. The last day the topic of consent and assualt will be discussed. Group will be led by AnneMarie Cox, MS, CPS, and former School Psychologist.
Email address *
First name *
Last Name *
DOB *
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Parents Name *
Parents Phone number *
Please read and check below if you agree to the following: In case of emergency, if I cannot be reached I give permission to the attending physician to hospitalize, seek treatment, order injections, anesthesia, or surgery for my child named on this form. Additionally I the undersigned, do hereby waive and hold Granby Youth service Bureau, its employees and agent harmless from any personal or property damage I or my child may incur while participating in this activity, I also understand Granby Youth Services does not provide accident or health insurance. In addition by electronically signing and dating below I am indicating my permission for my child to participate in this Granby YSB program: *
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