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SYDNEY ERICKSON
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REGISTRATION
Use this form to request to reserve your seat!
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Last Name
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Group(s) of Interest:
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INTO THE FIRE: FIRE WIVES GROUP
MOMS GROUP
WOMENS DIVORCE
MENS DIVORCE
OVERCOMING BURNOUT: MEN
OVERCOMING BURNOUT: WOMEN
TEEN TRANSFORMATION
Are you, or have you been, a patient of Restoration Psychological Services?
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Current patient (i.e., individual, couples, or family therapy)
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By checking this box, I am indicating that I understand that I will be invoiced a $20 registration fee in order to reserve my spot in the requested group if I move forward with registering for the group. REGISTRATION FEE IS CURRENTLY WAIVED FOR TEEN TRANSFORMATION GROUP
Following this request to register, contact will be made by admin or facilitator to gain further information to ensure all participants are a good fit for each group/workshop.
I want to subscribe to receive information about group and other services with Restoration Psychologial Services.
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Thank you for your interest!
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