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Registration
Use this form to request to reserve your seat!
First Name
Last Name
Email
Phone
Group(s) of Interest:
INTO THE FIRE: FIRE WIVES GROUP
MOMS GROUP
WOMENS DIVORCE
MENS DIVORCE
OVERCOMING BURNOUT: MEN
OVERCOMING BURNOUT: WOMEN
OTHER
Are you, or have you been, a patient of Restoration Psychological Services?
No
Current patient (i.e., individual, couples, or family therapy)
Previous patient
Have attended other groups
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.
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.
Request to Register Now
Thank you for your interest!
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