Teen Group Enrollment and Screening Application

Equinox Counseling and Wellness Center

Life and Social Skills the EQ Way
A Therapeutic Club Program

Enrollment and Screening Information

 

Enrollment information is accepted up to 3-days in advance of the identified group/club start date.

A $100 deposit is required at the time of registration to secure enrollment.  Upon completion of the initial screening, the deposit amount will be applied to the cost of the therapeutic Club in which you are enrolling and is non-refundable if participation is cancelled after the start of the group.  If is determined  the therapeutic social skills club is not be a good fit for your child after the initial screening your deposit can be applied to another event or service that may be more appropriate or be refunded.

 

Enrollment and Application Information

INSTRUCTIONS: Please review and fully complete each of the forms. Please do your best to complete this packet accurately. Forms must be completed and signed to be considered for enrollment. If you have any questions or concerns, please do not hesitate to call us: 303.861.1916