Group Participation Form
Group Participation Form
First and Last Name of Potential Group Member *
Your answer
Email *
Your answer
Phone number *
Your answer
I am interested in the following Group(s): *
Required
Do you have a question about any of the groups or would you like to suggest a group?
Your answer
What is the best day for you/your child to participate in the group? *
Required
What is the best time(s) for you/your child to participate in the group? *
Your answer
Have you already registered on my website? If no, please go to http://houstoncounselor.me and click the "Register/Schedule" Link to get started. *
Required
If you are an adult, would you be interested in a group that meets via video online?
Each group runs for six weeks and requires a commitment to attend each week. Can you make a commitment to attend each week? *
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