We're Here! LGBTQIA+ Teen Support Group Interest 
Thank you for your interest in Hope Therapeutic Service's LGBTQIA+ Teen Support Group.  This group will incorporate creativity, discussion, mindfulness, and therapeutic approaches to help support participants through painful moments and uplift queer joy. This group is a space of radical acceptance and community building where participants will come together to discover more about themselves, support one another, and celebrate some of the unique, wonderful aspects of being in the LGBTQIA+ community.    This group is an In-Person 8-week session and is open to teens ages 13-17.  This is an on-going group based on individual needs and age groups, and meets weekly Tuesdays 4:30pm-5:30pm. This group has a maximum participant number of 6-8. Please identify below the group you are interested in.
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Email *
Are you interested in attending our LGBTQIA+ Teen Support Group? *
Are you able to commit to most of or all of the 8 week group sessions? 
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What is the name and age of the teen attending?
What are the pronouns of the teen attending?
Please provide the following information:
Caregiver/Parent Name, Phone Number, Email, Best Time/Day to reach out
How did you hear about this event?
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How would you like to pay for the group?
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Please share your insurance information if you are seeking to use insurance benefits.
Please share any information that would help us to better care for your teen.
Thank you very much for your interest! A  member of the Hope Team will contact you to explore your interest further. 
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