Group Therapy Interest Form

Thanks for your interest in joining a group. These spaces are intentional containers for connection, reflection, and growth — and they work best when the fit feels mutual. You don’t need to have it all figured out. This form just helps us start that conversation.
Please note: Group enrollment is based on rolling applications. Groups are only formed when we’re able to create an appropriate, safe, and accessible mix of participants. We are currently accepting applications for Fall 2025 and Winter 2026 cohorts.
If you have more than one child, please fill out a separate form for each.

About Your Child

Name

First Name

Last Name

Preferred Pronouns

Your Email

Your Phone

(###)

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Is there anything I can know or do to help make this space feel safer or more accessible for you and/or your child from the start?

About Group Work

Which group(s) are you interested in receiving more information on?

Worry Warriors (ages 13–17) – Spoken English

Worry Warriors (ages 13–17) – ASL

The Real Me Club (ages 13–17) – Spoken English

The Real Me Club (ages 13–17) – ASL

The Friendship Lab (ages 8–17) – Spoken English

The Friendship Lab (ages 8–17) – ASL

Beyond the Binary (ages 12–17) – Spoken English

Beyond the Binary (ages 12–17) – ASL

What drew you to seeking group work for your child right now?

If you had a magic wand, what would you want this group experience to help your child with?

Has your child done group therapy or support groups before?

Is your child currently participating in individual therapy, or have they in the past?

Money Stuff

Group supports are designed to be intentional, equitable containers. Groups range from 45 to 90 minutes depending on age and attention span, and cost between $75–$150 per session.

Does it feel possible to invest in group work at those rates?

Before We Chat

Is there anything else you’d like me to know about you, your child, your goals, or your capacity for group work right now?

Group Therapy Interest Form

You belong here. ♡