Sign-Up for Group Counseling - Rock Your Family

Complete this form to sign up for any of our groups.

Name*
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Email*
Phone*
Address*
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Choose Your Desired Group*
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- Blossom: Women's Strength, Support, and Recovery Group
- SOLIDIFY: Men's Support Group
- The Christian ROCK: Therapeutic Discipleship Group
You may sign up for one or multiple groups
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Check this box if you've read and understand and agree to the below privacy policy and terms and conditions agreement.
Privacy Policy and Terms & Conditions
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