Caregiving Your Anxious ChildGroup Confirmation FormPlease submit the form below to confirm your wish to participate in the CAC group class beginning in April. Our groups will begin at the start of April and run for 8 weeks.Your Name (Caregiver):(Required) First Last Will you be participating in the Caregiving for your Anxious Child Group?(Required) Yes NoDo you have a partner who will also be attending the group?(Required) Yes NoYour Partner's Name(Required) First Last Your Partner's Email(Required) If there are two parents participating, please indicate whose name you would like invoices made out to:(Required)Is your child also attending the concurrent Coping with Anxiety class?(Required) Yes NoWhat is the name of the child you are attending this group to support:(Required) First Last What is the age of the child you are attending this group to support(Required)If you have any questions or comments, please don't hesitate to ask (optional):
