Women Living with ADHD Registration Form
Please use this form to register for group coaching sessions at The Hope Place. We will begin meeting Tuesdays on November 7th, 2023 from 7pm to 8:30pm in the group room at THP.
Your first group coaching session is free! We want you to make sure you're comfortable and that the group will be helpful to you. After your first session, you may register for a monthly membership of $125 to attend the groups for the month. You may also purchase a package of 6 sessions for $200.
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Your Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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What's a good contact number?
Date of Birth?
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Example: 00/12/3456
Why would you like to join?
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What sorts of things would you like to gain from this coaching group? What areas of your life do you think are impacted by ADHD?
Have you tried anything else?
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What sorts of things have you tried so far? Helpful or not?
Register Me!
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