K-2 4 week SEL Registration Form
Please complete this form to register for Bright Horizons Counseling Center Social Emotional Learning Group 4-Week Session. The cost is $25 per session ($100 for all 4 weeks). You may choose to pay $25 before each session or pay the full $100 prior to the first session. After submitting this form, a follow-up registration form will be emailed to you and must be completed before the group begins. I look forward to partnering with you and supporting your child!
Full Name
*
First Name
Last Name
Child's Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
REGISTER
Should be Empty: