Adult Group Offerings Form — Mutual Ground

Adult Group Interest Form

Complete this form to let us know you are interested in participating in one of our Adult Counseling Groups!

A member of our staff will contact with you soon.

Name *

First Name

Last Name

Phone *

(###)

###

####

Email

What is the best time to call you? *

Mornings - Before Noon

Afternoon - Between 12pm-4pm

Evenings - After 4pm

Please email me instead of calling

Which group(s) are you interested in? *

Empowered Co-Parenting

Unraveling Complex Trauma

Understanding Intimate Partner Violence

Expressive Healing

Dance and Shine

Brave Hearts

Thank you for your interest in our groups. We will be in touch with you shortly.