Black Girl Code Therapy Group
Event Timing: Tuesday from 6-8 starting September 6th
Contact us at (480) 469-4505 or chouston@nym.hush.com/kiara.s@charismahouston.com
Sign in to Google to save your progress. Learn more
Name *
Email *
Phone number *
Best Way/Time to Contact You
Any particular topics you are interested in? *
Required
I understand that this is a donation based group (up to $30) that I can choose to pay into or not. There is no financial obligation to comply with. If I’d like to make a donation I will let either facilitator know either via email, text, or simply at the end of group if I am comfortable doing so.  *
Required
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