"Try it Tuesdays" Workshop Series (March-April 2025) -Registration Form
Be Well with SEL, LLC offers Social Emotional Learning (SEL) enrichment workshops to participants in grades K-5. Each workshop includes stories, discussions, games, videos, movement activities and/or crafts all relating to SEL skills. Skills and strategies taught are educationally based "enrichment programs" and are not individual treatment plans or a form of therapy for students. Participants must be able to follow Be Well with SEL's "Code of Conduct" that is written into the Workshop Agreement Form. Space is limited to 10 students per workshop.

Workshops include:
-SEL lessons aligned with at least one of the 5 core competencies of SEL (self awareness, self-management, social awareness, relationship skills, responsible decision making)
-“Take Home Note/Packet” after each workshop that includes skills taught and language used for carry over at home

Payment:
The total cost of each workshop is $25/student. If registering for all 4 workshops, the cost is $90 ($10 discount). Please note that Be Well with SEL, LLC does NOT accept insurance. Payment is accepted in the form of cash, check made payable to "Be Well with SEL, LLC", or Venmo @KristenPerrotti (last 4 digits are 6671 if Venmo requests it). If paying by check, please mail to:

Kristen Perrotti
Be Well with SEL, LLC
790 Turnpike Street, Suite 102
North Andover, MA 01845

FULL PAYMENT is due at the time of submitting this registration form. Please note that spots will be held for 3 business days only. If the payment is not received by the 3rd day, the spot will be released for another student to register.
*If a registration needs to be cancelled by the parent/guardian, the payment will be kept on file as a credit to use towards any future SEL group, camp, or workshop.

AFTER SUBMITTING THE REGISTRATION FORM, YOU WILL RECEIVE AN E-MAIL CONFIRMATION (within 24 hours) FROM KRISTEN STATING THAT YOUR CHILD IS REGISTERED FOR A WORKSHOP. IF YOU DO NOT RECEIVE CONFIRMATION AFTER 24 HOURS, PLEASE E-MAIL: kperrotti80@gmail.com
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Which workshop are you registering your child for? *
Participant Name *
Participant Age *
Participant Grade *
Address *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian E-mail *
Emergency Contact Name AND Phone Number *
Please provide any additional information you feel might be helpful to know about the participant
Does the student receive any support services at school? *
If YES, please provide details
How did you hear about Be Well with SEL, LLC? *
"Code of Conduct" and Workshop Agreement Form: *
Required
*PAYMENT AGREEMENT: By checking the box below, you agree to pay the full workshop fee at the time of submitting this registration form.

Please note that spots will be held for 3 business days only. After the 3rd day, the spot will be released for another student to register.
 *
Required
Payment Method: *
AFTER SUBMITTING THE REFERRAL FORM, YOU WILL RECEIVE AN E-MAIL CONFIRMATION (PLEASE ALLOW 24 HOURS) FROM KRISTEN STATING THAT YOUR CHILD IS REGISTERED FOR A WORKSHOP. IF YOU DO NOT RECEIVE CONFIRMATION AFTER 24 HOURS, PLEASE E-MAIL: kperrotti80@gmail.com
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