CMHA Rosetown Parent Support Group Registration
This group will meet the first and third Thursday of the month, 6:30-8 p.m. (unless otherwise specified). Pre-registration must be completed with your current email address so that we can send out reminders.
OK
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1.
Your name (First, Last)
(Required.)
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2.
Email address
(Required.)
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3.
Cell phone number
(Required.)
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4.
Preferred Pronouns (she/her, he/him, they/them)
(Required.)
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5.
Age
(Required.)
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6.
Mailing address
(Required.)
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7.
Number of children and ages
(Required.)
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8.
What parenting concerns/topics would you like to discuss in this group (eg. sleep issues, self-harm, depression, school avoidance)?
(Required.)
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9.
How did you learn of our Parent Support Group?
(Required.)
I was contacted by CMHA Rosetown
CMHA Rosetown Facebook Page
CMHA Rosetown Instagram
Mental Health Professional/Counsellor
RCHS School Newsletter
RCHS Facebook Page
WAS School Newsletter
WAS School Facebook Page
Rosetown Events and Activities Facebook Page
Town of Rosetown Website
Word of Mouth
Other (please specify)
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10.
How often would you like this support group to meet?
(Required.)
Once a month
Twice a month
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11.
Would you be interested in presentations from psychiatrists, counsellors, pharmacists, or other mental health professionals as a part of Parent Support Group? If yes, please comment in detail who you would like to present and what topics.
(Required.)
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