Group Application

Complete the following

Once you submit this application, a group facilitator will be in touch with you within the next 48 hours.

* Indicates required field

Name *

First

Last

Name *

First

Last

Email *

Phone Number *

I am registering for... *

Tribe - A Group for Guys Breathe - For Friends & Family of Addicts Haven - A Group for Women DBT Skills for Women

How soon are you prepared to begin group? *

one week one month undecided

What interests you in this group? *

How did you find out about the group? *

Submit

ST. AUGUSTINE OFFICE
38 South Dixie Highway
Saint Augustine, FL 32084

St. Augustine Office

Office | 904.559.1944 Fax | 904.559.1998
*Elbow Tree Christian Counseling, LLC in Saint Augustine, Florida is independently owned and operated.

PARTICIPANT APPLICATION

Complete the following

ST. AUGUSTINE OFFICE​ 38 South Dixie HighwaySaint Augustine, FL 32084

ST. AUGUSTINE OFFICE
38 South Dixie Highway
Saint Augustine, FL 32084