Youth Wellness and Resilience Wellness Program- Sign-up Form

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Join us for a free Youth Resilience and Mental Wellness Program designed for youth across Denver! This Program will explore stress management, mental health and healthy coping strategies in a safe, supportive space. It also features free group and individual therapy and counseling with licensed therapists.

Please complete the form below to begin the enrollment process. All information is confidential.
Deadline: Sept 6th, 2025

Email *

Youth wellness and resilience program

Full Name *

Phone Number *

Email address *

Age *

Gender Identity *

Male

Female

Non-binary

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Other:

Race/Ethnicity *

Black or African American

Hispanic or Latino

Asian or Pacific Islander

White

Native American or Alaska Native

Middle Eastern/North African

Multiracial

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Other:

Do you identify as an immigrant or refugee?

Yes

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Address (Must be in Denver Couty) *

Best way to contact you

Phone

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Other:

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