2025 Mindful Self-Compassion Course 
We encourage families to fill out this form together. Any information is confidential.   No answer provided will exclude someone from the course. We would like to know the various dynamics in the group to better serve the needs of our participants.
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Email *
For teens/tweens: Parent/Guardian Name
For teens/tweens: Parent/Guardian Phone number
Name *
Age *
What course are you taking? *
What days/times work best for you? *
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