Social Anxiety Group Registration & Information Request Form
The social anxiety support group provides a space for teens who struggle with feeling uncomfortable during and who often become avoidant when engaging with other people academically or socially. It’s an opportunity to meet other people who share similar social fears in a supportive environment designed to provide practice social interactions with targeted exercises to help increase individuals’ confidence in their interpersonal abilities.
Please provide your contact information
The group facilitator will follow up with you shortly
First and last name
Please select a choice:
Register me for the upcoming Social Anxiety Group
Send me information about this group, I want to forward it to another person who may want to join
I would like to learn more about this group, but I am not interested in registering myself of someone else at this time
Please keep me informed about other groups you will be running
Preferred contact method
Please provide a brief description of how I can help you (optional)
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This form was created inside of Ally Counseling.