Mental Health Group Sessions: Alpha Class
Event Timing: September 7, 2020 to October 22, 2020
Event Address: Your Computer, Tablet, or Phone, Your Location with Internet, Planet Earth
Contact us at mentalhelp@sicklecellwarriors.com 
Email *
Each session is limited to 5 members only. All other candidates will be wait-listed until a session is available. Thank you for your patience and understanding with this important initiative.
Welcome to the Group Sessions Registration Form. Please fill out all answers completely. Upon submission of this form,  you will be contacted with further instructions from Sickle Cell Warriors, Inc.
This form is to be completed by the person who will be participating in group sessions, or their guardian (if participant is younger than 18 years old).
Name *
First Name followed by Last name (SURNAME)
Current Age of Participant *
Phone number *
Will only be used for important group session communications. Use 555-555-1111 or international format
Location?
Nearest City, State, Country
Which group do you wish to be a part of? *
Which other group would be your second choice, if the first group was full? *
Please indicate your second choice.
Which time block is your preference? *
First choice
Second choice
Add me to the wait-list
4:00 to 5:00 pm Eastern
5:30 to 6:30 pm Eastern
None of the above
What do you hope to gain from taking this group session?
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