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Home
Workshops
Appointments
About
Contact
Blog
Resources
Mission Statement
Testimonials
Photoshoot Days!
Name
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Phone (Optional)
Email address
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What is your child's name/age
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What is your child's favorite activity?
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What is your child struggling with?
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Loneliness
Self-Worth
Peer Pressure
Anxiety
Stress
Anger
Relationships
Sadness
Other
Does your child have a mental illness?
*
Yes
No
Workshop days will be Tuesday-Thursday, will those days work for your child to attend?
*
Yes
No
Would your child be available for all 6 one hour sessions?
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Yes
No
are you willing to provide feedback that can be used for future testimonials?
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Yes
No
What Social Media does your child participate?
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Snapchat
Instagram
Facebook
TicToc
You Tube
WhatsApp
Kik
Askfm
Tumblr
Reddit
Please tell me a little about your child - All information will be confidential.
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