Relate's High School Girls Group

High School Girls Group

Thursdays at 6:15, beginning March 3rd through the end of the school year
Participant's name *

First Name Last Name
Parent/guardian's name *

First Name Last Name
Parent/guardian's email *
example@example.com
Parent/guardian's phone number *
Please enter a valid phone number.
Participant's grade *
Participant's school *
What topics would your teen like to discuss in group? What problems are they currently facing in life? *
My child is currently a Relate Counseling Center client. *

Yes No
I plan to utilize insurance to pay for the group. *

Yes No, I will be paying out-of-pocket
If yes, what insurance provider do you have?
** Please note that by registering for this group, you agree to provide proof of vaccination and wear a mask during group sessions. **
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