Helping Parents Love

Helping Parents Love

Group meetings begin May 12 (Tuesday) or May 13 (Wednesday). You’ll receive a confirmation email upon completion of this form, then further information will be sent by your group leaders at a later date.
Name*

First NameLast Name
Spouse Name (if participating)

First NameLast Name
Primary Email*
example@example.com
Phone Number
Leave blank if you have a non-US/Can number. Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How does your child identify? (gay, trans, etc.)

Group Options (Select One)*

Group 1 (Mulder/Wilken)

Meets on Tuesdays, 8:00pm-10:00pm Eastern. Begins on May 12.

$179.00

Group 2 (Johnson/George)

Meets on Wednesdays, 9:00pm-11:00pm Eastern. Begins on May 13.

$179.00

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Total

$0.00