Cerasee & Cocoa Tea Therapy Group Interest Form
Let us know what groups interest you. We currently meet on Saturdays (2:30 - 4:30pm) and Sundays (2 - 4pm).
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you seeking services for an Organization/Church?
It's personal
Organization/Church
Which group(s) are you interested in? (Multiple choice available)
*
BIPOC stress (Men only)
Grief Group
Male Survivors of Domestic Violence
Caregivers
BIPOC stress
Mother Wound
Father Wound
Couples
Caregivers of Military/First Responders
Caregivers of Special Needs
Emotional Emancipation Circle
Emotional Emancipation Circle (Men only)
Grounding & Resourcing Group (only thinking about the good stuff)
Other
All participants are required to complete an intake & assessments before being booked for a group.
Understood.
Please share any additional information or questions.
Submit Interest
Should be Empty: