Rediscovering Me: A Path to Heal Your Inner Child Name * First Name Last Name Email * Phone * (###) ### #### Wednesdays, 8:00 AM - 9:20 AM MST Choose your dates 11/06/24 - 02/12/25 (Full) 02/19/25 - 05/07/25 05/14/25 - 07/30/25 08/06/25 - 10/22/25 10/29/25 - 02/04/26 Fridays, 1:00 PM - 2:20 PM MST Choose your dates 01/10/25 - 04/04/25 04/11/25 - 06/27/25 07/11/25 - 09/26/25 10/03/25 -01/09/26 Questionnaire * These questions must be answered to be considered for one of the 12 available spots. How did you learn about this group? * What do you hope to gain by participating in this group? * The expectation is that group members will attend weekly, participate in group discussions, role-plays, and activities, and complete follow-up homework assignments. Do you believe that you can commit to this level of participation? * What concerns do you have about being a member of this group? Do you have any questions? Thank you!