Hidden Treasures
HT-RR · Rhythm & Regulation
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Your treasures are
waiting
.
Registration is free and confidential. Take your time, every question helps us welcome you well.
About You
Full Name *
Age *
Phone *
Email *
About Your Child
Child's Age
Food Allergies
Getting You There
Availability
Transportation Needs
I have my own
Need bus/gas card
Need pickup
Emergency Contact (name & phone)
A Few Reflections
How often do you feel stressed?
Rarely
Sometimes
Often
Always
Do you currently have a support system?
Strong
Some
Not really
How did you hear about us? (Referral Source)
Anything else you'd like us to know? (optional)
Permission to text and email.
I agree to receive session reminders and important program updates by text message and email.
Consent to participate. *
I understand Hidden Treasures is a prevention program, not therapy, and I consent to participating. My information will be kept confidential.
Complete Registration