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Pre-Teen Group Session Form

Complete the following form for your child/children to participate in a Group Session learning Anxiety Coping Skills and building genuine friendship.

After Submission:

Once there are enough children for a group, you will receive an invitation to download the Simple Practice app, along with all the necessary information and consent forms. Registration closes May 6th

Cost:

$38 per Child Group Session

$50 per Child Individual

if applicable

if applicable

if applicable

Child's Age and Gender
Female 9-10
Female 11-12
Female 13-14
Male 9-10
Male 11-12
Male 13-14
2nd Child's Age and Gender
Female 9-10
Female 11-12
Female 13-14
Male 9-10
Male 11-12
Male 13-14

if applicable

3rd Child's Age and Gender
Female 9-10
Female 11-12
Female 13-14
Male 9-10
Male 11-12
Male 13-14

if applicable

4th Child's Age and Gender
Female 9-10
Female 11-12
Female 13-14
Male 9-10
Male 11-12
Male 13-14

if applicable

Dates and Times

Below are the first FOUR weeks of summer's availability. After week June 23rd, Bluebird will post more availability. if you want to permanently reserve your spot for the entire summer contact Mikayla Love at mikayla@bluebirdcounseling.co

Multiple Sessions:

You may select sessions on more than one day. Please note that while you can sign up for multiple sessions each week, we cannot guarantee that your child/children will be assigned to the same group every day.

May 26-29

Week 1: 26th- 29th

Monday 26th

Monday May 26th

Tuesday 27th

Tuesday May 27th

Wednesday 28th

Wednesday May 28th

Thursday 29th

Thursday's are reserved for individual sessions, sign up for an Individual "Life Coach" appointment on the website under "Book Appointments"https://www.bluebirdcounseling.co/bookappointments

June 2-5

Week 2: June 2nd - 5th

Monday 2nd

Monday June 2nd

Tuesday 3rd

Tuesday June 3rd

Wednesday 4th

Wednesday June 4th

Thursday 5th

Thursday's are reserved for individual sessions, sign up for an Individual "Life Coach" appointment on the website under "Book Appointments"

https://www.bluebirdcounseling.co/bookappointments

June 9-12 OUT OF OFFICE

June 16-19

Week 3: 16th-19th

Monday 16th

Monday June 16th

Tuesday 17th

Tuesday June 17th

Wednesday 18th

Wednesday June 18th

Thursday 19th

Thursday's are reserved for individual sessions, sign up for an Individual "Life Coach" appointment on the website under "Book Appointments"

https://www.bluebirdcounseling.co/bookappointments

June 23-26

Week 4: June 23rd-26th

Monday 23rd

Monday June 23rd

Tuesday 24th

Tuesday June 24th

Wednesday 25th

Wednesday June 25th

Thursday 26th

Thursday's are reserved for individual sessions, sign up for an Individual "Life Coach" appointment on the website under "Book Appointments"

https://www.bluebirdcounseling.co/bookappointments

If you have any questions please feel free to contact us, mikayla@bluebirdcounseling.co

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