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Teen Talks Group
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Summer Groups 2018 Application
Parent's First name
Parent's Last name
Email address
Telephone Number
How did you hear about us?
Teen's First Name
Teen's Age
13
14
15
16
17
18
Summer Program Menu - Please select all that apply
DBT CRISIS SKILLS + CREATIVELY COPING GROUP (2HRS)
TEEN TALK- SELF ESTEEM- A CHRISTIAN PERSPECTIVE (1HR)
PARENT COACHING- VALIDATION. YOUR PARENTAL SUPERPOWER! (1HR) IN-PERSON
PARENT COACHING- VALIDATION. YOUR PARENTAL SUPERPOWER! (1HR) VIRTUAL
What is the current biggest challenge your teen is facing?
What would you like your teen to accomplish in group?
What is the current biggest challenge you are facing as a parent?
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