Emotion Explorers sign-up Child's Name * First Name Last Name Age of Child * Parent/Guardian Name * First Name Last Name Relationship to Child * Parent Guardian Grandparent Other (please describe in Message box below) Child's Gender Male Female Non-binary Prefer not to say Phone * (###) ### #### Email * Message Thank you!You will be contacted by Aldersgate Staff to complete a brief prescreening before group sessions begin. All participants need consent from all parents/guardians in order to participate.
