Therapeutic Art Group Inquiry Form
As a Board Credentialed Registered Art Therapist (ATR-BC), Licensed Professional Counselor (LPC), and visual artist, I offer non-clinical community-based therapeutic art groups. If you’d like to book me for a community center, bachelorette weekend, girls' trip, corporate wellness group, festival, or something else, please fill out this form. I will follow up within 48 hours of the submitted form!
Full Name/ Point of Contact Name
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First Name
Last Name
E-mail
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example@example.com
Phone Number
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Format: (000) 000-0000.
Desired Booking Date & Start Time
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Month
-
Day
Year
undefined
Hour Minutes
AM
PM
AM/PM Option
Group end time:
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Hour Minutes
AM
PM
AM/PM Option
Please describe the setting in which this would take place:
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How many attendees are you expecting?
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How would you describe your group’s personality and what they are hoping to get out of this workshop(example: stress, reduction, team building, etc.)? This allows me to tailor the activity to the group.
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Submit
Should be Empty: