Outreach & Education Groups Expression of Interest

1

For more info, please fill out this quick contact form. Please note this is an expression of interest, not a registration. We will contact you within 72 business hours to confirm your eligibility for the program. Thank you!
2
First Name* This field is required.
3
Last Name* This field is required.
4
Email* This field is required.Please include your email here.
example@example.com
5
Phone Number* This field is required.
Please enter a valid phone number.
6
Which outreach groups are you interested in?* This field is required.Please select a group.
Please Select
Please Select
Mindful Self
MoMENtum
Living with Suicide Loss
Personal Reflections of Grief
Because We Care
Anger Awareness
Do-It-Yourself: Self-Care
Other, not listed here
7
I consent to be contacted by the Counselling, Outreach & Education department at Lethbridge Family Services, and I consent to be left a voicemail message.* This field is required.
I consent
Should be Empty: