Group Registration

M.A.C. Family Center

Group Registration

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Creating Pathways to Destinations

Payment must be processed to be enrolled in the group.

Spring Groups

What are you hoping to gain from this group? *

Are there any specific topics that you would like to discuss during group? *

Is there anything we should know about your physical or emotional well being prior to group sessions? *

Group registering for: *

Parent Email *

Parent Phone *

Participants Name: *

Date of Birth *

Address *

Parent Name *

To register for one of our groups, please complete the following information.