10% Discount for Early-bird Registration: $295 totalfor the entire six week group if registered by Thursday July 3rd and paid in full. Please fill out the Contact Form below to reserve your spot! Full Name * First Name Last Name Email * Mobile Phone # * (###) ### #### Subject * What are your expectations and hopes for this group? * Previous Experience * Select each that you've previously participated in: Individual Counseling Couples Counseling Group Therapy Support Group Men's Group (church, secular, etc) Self-study (books, classes) Coaching (received) None Growth Areas * In what areas do you want to grow? Relationships (single life, dating, marriage, separation, divorce, widower) Friendships and Support Mental Health Emotional Intelligence Communicating effectively Other (please describe below) Other growth areas * Please add any other specific details Thank you! We’ll be in touch within two business days!
