educational and Supportive Parent Group Booking Form

Please complete this form if you would like to attend our Educational and Supportive Group for Parents.

Full Name

E-mail

Contact Number

In case of an emergency who can we contact? (Name and Number)

Please check the box to indicate which group session you would like to attend if not all. Please note each group is charged at £60 per session, payable in advance.

All 6 sessions
1 - 06.06.23 - Child Development, Puberty and Sleep Hygiene
2 - 13.06.23 - Neurodiversity - Autism, ADHD, Dyslexia
3 - 20.06.23 - Eating Patterns, Relationships, Social Media & Online Safety
4 - 27.06.23 - Low Mood, Anxiety, Gender and Sexuality
5 - 04.07.23 - Self - Harm, Suicidal Thoughts,, Drug and Alcohol
6 - 11.07.23 - Bullying, School Refusal, Exam Stress and Healthy Living

Please outline the age range of your child / children.

7-10
11-13
14-16
16 +

Please indicate what you hope to achieve from attending these groups.*

Please check this box to agree to pay for the group in advance to secure your place.

Please check this box to agree to our cancellation policy. If you need to cancel your attendance at any group session, 7 days notice will be required for a full refund.

Please check this box to indicate that you understand that this group is a confidential space to learn and share experiences with others. We ask that the names of other participants attending the group is kept anonymous.

We look forward to welcoming you to our groups. Once your form has been submitted we will email you with confirmation of a place and send details of how to secure it with payment information.

Wimborne Psychology Ltd

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