Counseling Groups Please enter your name and phone number. Check any group that you feel would be helpful for your child. You may check more than one. When enough people register for any specific group, we will call all group members to schedule initial meetings with each child. In your initial meeting, we will meet with you and your child, to explain the group process and to determine if your child is appropriate for the group. The initial meeting is free of charge. Group sessions last approximately one hour. Name:First (required) Last (required) Phone (required) Ext. Best Time to Call 2nd Phone (optional) Ext. Best Time to Call (2nd Phone) Email (required) Child's Name: First Last Age Grade Gender (check one) Male Female Please indicate which groups you may be interested in by checking off a box or boxes below. For Children and Adolescents Support Groups for Parents and Families Anger Management Behavior Management Strategies Social Skills Training Strategies for your child with ADHD Grief and Loss Navigating the IEP/504 Process and Getting Needed Support foryour Children Managing ADHD Support for Parents and Siblings of Children with Autism-Spectrum Disorder Learning Disability Strategies and Support Helping a Child cope with Depression and Anxiety Dealing with Depression Dealing with Anxiety Organization and Study Skills Building Self-esteem Improving Memory Suggset a New Group Information submitted on this form is secure and confidential.