REGISTRATION FORM                                Parenting Through Divorce: Helping Kids Thrive
Workshop for parent/caregivers:

Saturday, May 25, 2024 10:00am-12:00pm

Facilitated by Christine Crocker

Program Registraiton Cost: 25.00 (non-refundable, see more about the fee and cancellation policy below)

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Email *
Thank you for your interest in this program. Please fill out this registration form. Our admin team will contact you after it is submitted to answer any questions and complete your registration. 
Full Name *
Address *
Phone Number  *
Is this you first experience of attending a mental health and wellness program (group or workshop)? *
Required
Are you currently receiving (or have in the past) individual counselling services? 

Note that this is not required to participate in a program and if you are not comfortable sharing, that is OK. We ask because the facilitators find it helpful to know if participants have other mental health supports in their lives.
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