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Youth Resiliency and Social Groups interest form
Are you a young individual looking to navigate the exciting journey of youth with confidence and resilience? Our Youth Life Coaching Group is here to support you on your path to self-discovery and personal growth. We understand that adolescence can be both exhilarating and challenging, and we're dedicated to helping you build the skills and connections needed to thrive during these formative years.
Sessions will be designed based on age groups at our Renton Office location or on zoom.
This will be a six week session @ $300 total for the six session.
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* Indicates required question
Name of adult (Guardian/Parent) of youth:
*
Your answer
Contact phone number:
*
Your answer
Contact email:
*
Your answer
Best way to contact you:
*
Phone number
Email
Name of youth interested in participating:
*
Your answer
Date of birth of youth interested in participating:
*
MM
/
DD
/
YYYY
Age range of youth interested in participating:
*
8-11
12-14
15-18
Young adults: 18-23
Meeting in person or virtual?
In person
Zoom
Clear selection
For in person, which time frame works best for you?
Mondays 4:30-5:30
Monday 6:00-7:00
Tuesdays 3:30-4:30
Tuesdays 4:30-5:30
Thursdays 4:00-5:00
Thursdays 5:30-6:30
None of these times will work for me (please indicate your availability in the section below)
ALL of these times works for me.
Other:
Additional info you'd like us to know:
Your answer
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