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Institute for Radiant Health
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EMOTIONAL INTELLIGENCE GROUPS
CHILDREN (AGES 5-10)
Applicant Type
*
Applying for Children's Skills Group
Applying for Parent Group
Applying for Couples Group
Applying for Family Lab
Parent / Applicant Name
*
Child Name (if applicable)
Child Age (if applicable)
Email
*
Phone (optional)
Primary Area of Interest
Emotional regulation
Peer confidence
Communication
Family dynamics
Boundary development
Other
What prompted your interest in this group at this time?
Preferred days / times
How did you hear about us? (optional)
Submit Application
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