CMHA Rosetown Parent Support Group Registration

This group will meet the third Thursday of the month, 6:30-7:30 p.m. (unless the group decides to meet more often). Pre-registration must be completed and masking is required. We ask that you stay home if you are experiencing symptoms.

Question Title

* 1. Your name (First, Last)

Question Title

* 2. Email address

Question Title

* 3. Cell phone number

Question Title

* 4. Preferred Pronouns (she/her, he/him, they/them)

Question Title

* 5. Age

Question Title

* 6. Mailing address

Question Title

* 7. Number of children and ages

Question Title

* 8. What parenting concerns/topics would you like to discuss in this group (eg. sleep issues, self-harm, depression, school avoidance)?

Question Title

* 9. How did you learn of our Parent Support Group?

I was contacted by CMHA Rosetown

CMHA Rosetown Facebook Page

CMHA Rosetown Instagram

Mental Health Professional/Counsellor

RCHS School Newsletter

RCHS Facebook Page

WAS School Newsletter

WAS School Facebook Page

Rosetown Events and Activities Facebook Page

Town of Rosetown Website

Word of Mouth

Other (please specify)

Question Title

* 10. How often would you like this support group to meet?

Once a month

Twice a month

Question Title

* 11. Would you be interested in presentations from psychiatrists, counsellors, pharmacists, or other mental health professionals as a part of Parent Support Group? If yes, please comment in detail who you would like to present and what topics.