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Tweens Support and Skills Group
Small Educational Group
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8 Week Course
Dates coming soon!
Tuesdays 6-7pm
291 N 300 E American Fork Utah (UPSTAIRS)
Parent First and Last Name
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Parent Phone Number
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Participant First and Last Name
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Date
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/
DD
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Payment Method $160 for 8 week course. Please pay in full, or contact us (
mbates@sviewcounseling.com
) with questions.
Credit Card (You will receive an invoice through Square)
Venmo @brody-bates-2
Check (payable to Summit View Counseling)
I referred a friend for a $20 discount. Please write friend's name below.
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Please let us know of any special needs:
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Any other questions? We look forward to seeing you!
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