Support Group Registration FormContact Alesha Hendricks, LLMSW at alesha@thetherapystudiomi.com with any questions! Name * First Name Last Name Age * If inquiring for your child, please provide the child's age. Pronouns What are your pronouns? She/Her He/Him They/Them Phone * (###) ### #### Email * Group you are registering for (or inquiring about) * Burnout & Badassery Anything you'd like us to know about what you're hoping to get out of group? Thank you for submitting your counseling inquiry! I will get back to you as soon as possible.
