Youth SEL Group Interest 
Thank you for your interest in Hope Therapeutic Service's Youth Social Emotional Learning (SEL) group. Social Emotional Learning refers to the process of developing the self-awareness, self-control, and interpersonal skills that are vital for school and life success. This group offers the space for youth to learn ways to manage their emotions, engage in healthy behaviors, adapt helpful social skills, improve self esteem, learn conflict resolution, self-regulation skills, and more!  This group is an In-Person 8-week session, open to 3rd-6th grade youth, and will meet Thursdays 4:00pm-5:00pm. This group has a maximum participant number of 15.
Email *
Are you interested in attending our Youth SEL Group? *
Are you able to commit to most of or all of the 8 week group sessions? 
Clear selection
What is the name and age of the youth 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?
Clear selection
How would you like to pay for the group?
Clear selection
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 child.
Thank you very much for your interest! A  member of the Hope Team will contact you to explore your interest further. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy