Registration form for Threads Of Strength
Threads of Strength is the foundation of the program, focused on awareness, emotional safety, and self-expression.This virtual group creates a supportive space where youth engage in guided sessions while working toward the creation of a personal piece of art that reflects their journey. Throughout each session, participants explore themes such as boundaries, safety symbols, identity, empowerment, and self-worth.
Organization Referring
Organization Name
First and last name
Youth name
First Name
Last Name
Age?
*
Guardian Name
*
First Name
Last Name
Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Guardian Email
*
example@example.com
Emergency Contact
*
First Name
Last Name
Emergency Contact phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Has the participant been part of any support or creative programs before?
*
What interested you in this program?
*
Submit
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