Taming Toddler Tantrums Waitlist

This parent education group provides parents/ caregivers with a deeper understanding of their child's brain development and offers practical strategies to support their child's emotional and cognitive growth. Opportunities to connect with other parents who share similar experiences to receive support and guidance in their parental journey.

This is not considered a healthcare service and is therefore NOT billable to insurance.

To apply, please fill out the form below. We will review your form to ensure your will be a good fit for the group. Once approved we will send you a welcome letter, a consent form to sign, and an invoice to finalize your registration. THIS FORM DOES NOT FINALIZE YOUR REGISTRATION!

Caregiver Name*

First NameLast Name

Caregiver Contact Email*

example@example.com

Caregiver Phone Number

Please enter a valid phone number.

Will two parents be participating in the group?

Caregiver 2 Name

First NameLast Name

Caregiver 2 Email

example@example.com

How did you hear about this group?

Other

Tell us about your children/family/household? (i.e. how old are your children, who lives at home etc.)

Tell us about your relationship with your child(ren)?

When do you have the most trouble parenting your child(ren)?

Are there specific areas of parenting you would like support and/or guidance? Any specific parenting questions you would like answered?

What are you hoping to gain from being involved in this group experience?

Best time to offer the group?

Morning 9-12Afternoon 12-3Afternoon 3-5Evening 5-7

The group costs is prepaid, if you are ill or not able to attend one of the groups, we unfortunately, will not be able to provide any refund.

Is there anything else you would like us to know?

Thank you filling out the screening form. Once you submit the form, we will review your form to ensure your child will be a good fit for the group. Once approved we will send you a welcome letter, consent form to sign, and an invoice to finalize your registration.

THIS FORM DOES NOT FINALIZE YOUR REGISTRATION!