Silent Healing Through Art Group
A 4-week Art Therapy Workshop with a focus on anxiety; an after effect of the pandemic. For more information visit www.theartintherapy.com
Client/ adolescent name
*
First Name
Last Name
Age
*
Grade
*
School Name
*
Has the client attended group therapy before? If so, what was the reason?
Name of Parent or Guardian
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
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Please download the following form to register for the group. Fill and re-upload below. You may email me if you have any issues.
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