Self-Paced Program Register Your Interest

Register Your Interest in our Self-Paced Start Anytime PEERS® Program
Register your interest now for our Self-Paced Start Anytime PEERS® Program and we'll email you to let you know as soon as it's available. Details of the Self-Paced Program, including content and pricing, are available on our website here.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Participants Age*
Post Code*
Does your adolescent/young adult/family member have any of these challenges?*

They have limited or no friends but not sure whyThey seem constantly worried or sadBeing bullied at schoolObsessively online or gaming, Isolated, and refusing to go to schoolWanting to change schools or be homeschooledOther
Should be Empty:

Register Your Interest in our Self-Paced Start Anytime PEERS® Program