Growing Resilience Workshop Registration

This workshop has been created as part of my postgraduate health psychology studies, and may be recorded for professional supervision purposes. Any recording will be focused on me, and will be viewed only by myself and my supervisor.

* Indicates required field

Mother's name *

First

Last

Other parent or support person's name (if applicable) *

First

Last

Phone number *

Address *

Email *

Is this your first baby? *

Do you have any dietary restrictions, allergies, or health issues relevant to the class? *

Do you have any current mental health diagnoses? If so, please describe: *

Your information will remain confidential.

If you answered 'yes' above, are you currently undergoing treatment (medication and/or therapy)?* *

*Please note that the workshop focuses on skills for maintaining mental and emotional wellbeing, and is not a substitute for ongoing, professional mental health treatment.

Is there anything else you would like me to know? *

How did you hear about the workshop? *