Shadow Ridge Health and Wellness Groups - Interest Form (7-12 grades)

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Please fill out this form completely if you are interested in joining one of our small group sessions being held on Tuesday afternoons at the Shadow Ridge Main Campus. After completing this form, you will receive notification of specific dates and times of meetings and a consent form will be sent to you for a parent/guardian to sign.

Email *

Student First and Last Name *

Student ID Number *

Gender *

Grade *

Please check any of the areas below that you feel you need help with: *

Self Esteem

Peer Relationships

Self Harm

Social Anxiety

Generalized Anxiety

Depression

Coping Skills/Self-Care

Self Awareness/Identity

Other:

Required

I would prefer to meet: *

In-person

Virtually

Required

Send me a copy of my responses.

Submit

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