Waiting List for Sharon Selby Counselling Services
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What is your first and last name? (parent) *
What is your email address? *
What is today's date? *
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 What is your phone number? *
What is your child's name and gender? *
What is your child's date of birth? *
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What are your main concerns? *
If you and your partner are separated or divorced, is your partner in agreement with counselling?  This is necessary, unless you have sole custody.
Are you seeking in-person counselling or online counselling? *
Thank you for your patience, you will be contacted when space becomes available.  
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