A Place for Me Group Registration Form

A Place for Me Counseling

& Therapy Access
Registrant Name*

First NameLast Name
Email*
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Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Attendees
List the name, phone number, and email of the attendees you want to register*
Payment Details
Reminders
- Cancellation - Registrations can be canceled within 5 days before the start of the event. If approved, a full refund will be processed.
- Payment—Only paid registrations will be accepted in the online event. Zoom/Google Meet links will not be sent to unpaid registrants.
- Payment Method - We accept credit cards, PayPal, Stripe, and Square.
Select one or more session as needed. The fee covers the initial group session. Sessions will billed weekly and the login will be shared once registration is completed.
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Narrative Healing: A Therapeutic Book Club for Black Men - Dr. Dwayne Gelly
The "Narrative Healing" project is a 90-day virtual therapeutic book club designed explicitly for Black men dealing with trauma. The program integrates narrative therapy, literature, and reflective writing to facilitate healing and community-building. Sessions begin on Monday, 7/21, at 6pm and will meet weekly for 2 hours.

$100.00 Quantity



Unmasking Sex: Shedding Shame, Embracing Pleasure, Redefining Intimacy - Dr. Aaron Kimble
Breaking down taboos, exploring intimacy authentically, and creating a safe space for open, transformative conversations about sex, relationships, and pleasure. Sessions begin on Tuesday, 7/22, at 6pm and will meet every other week for 1 hour.

$50.00 Quantity



ADHD Rewired: Struggles, Support & Success
This group provides a supportive space for individuals with ADHD to learn coping strategies, improve focus, and connect with others facing similar challenges. Participants will gain insights on managing time, staying organized, and reducing impulsivity. Sessions begin on Monday, 7/21, at 12pm and will meet weekly for 1 hour.

$35.00 Quantity



Stronger Together: Couples Therapy Group
This group is for young adults seeking to strengthen their romantic relationships. Focusing on communication, trust-building, and emotional intimacy, couples will learn tools to navigate common relationship challenges in their early years together.

$50.00 Quantity



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A Place for Me Counseling

Attendees

Payment Details

Reminders