Mindful Matters- Tween Group
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How to register?
Upon submission of this google registration form, we will contact you to confirm your payment method to complete your registration.  

SPACE IS LIMITED! Sign up recommended the Friday prior to group!

This registration is non-refundable so remember to mark your calendar today!

If you are interested in private training for parents, don't see a group you would like us to offer, or have questions, please call us at  480-808-6050  or send us an email at admin@scottsdaletrustedtherapy.com.  We look forward to helping you along your journey!
Parent(s) First and Last Name(s): *
Primary phone number for parent:
*
Secondary phone number for parent *
Parent email *
How many children would you like to sign up: *
List the full name of your child and current grade and name of high school (below you can list this information for each child you will be registering): *

Groups are aimed to help participants through their common experiences and similar feelings, worries and everyday challenges, find support. and build skills. We will create a safe, supportive, and nonjudgmental environment where we work together to build coping techniques, motivation, and a sense of empowerment!

This will help tweens raise awareness, develop empathy, teach healthy conflict, explore feelings, & promote a positive change in relationships.

Group will meet from 1pm to 2:30pm on the following Saturdays: January 20th, February 24th, March 23rd, April 13th, May 18th

Investment

$85 drop in fee per session or 5 sessions $375

*SPACE IS LIMITED and meets in person.

Please select the following you would like to enroll in your child(ren) in:
*
Required
Are you and your child(ren) current client at Scottsdale Trusted Therapy, PLLC (STT)?
*
Questions/Comments:
I hereby authorize Scottsdale Trusted Therapy, PLLC to use pictures of me (or my child/ward) taken in a photograph, digital image, videotape, motion picture, and/or testimonial (written words). The undersigned hereby releases  Scottsdale Trusted Therapy, PLLC  its agents or employees, as well as any and all users and exhibitors of said pictures, from any and all claims, demands, accountings, and causes for which the aforesaid videotape, testimonial, motion picture, digital image, or photograph likeness may be used pursuant to this Consent and General Release. It is also my understanding that I will receive no compensation for my likeness or testimonial: *
I understand that I will be invoiced 24 hours prior to the first day for this group and that filling out this form reserves my spot. If I cannot attend I must give 24 hours advance notice to avoid being charged.
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