A Support Group for Teens
This is for the name of the teen applying for the group
Are you 18 years or younger?
If older than 18 OR if you don't need parent/guardian permission, disregard this question
Parent/guardian Phone Number
If no parent/guardian needed, please provide the teen applicant's phone number
If no parent/guardian needed, please provide the teen applicant's email
Preferred Method of Contact
This is for both parents/guardians and teen applicants, if teen is older than 18
One-on-one sessions are also available; is this something you would prefer or would you want to go through with the group session?
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