Get Pride Group Registration

This guide will provide you with step-by-step instructions on how to complete the Pride Group Registration form online. By following these steps, you can ensure that all necessary information is accurately submitted for registration.

Follow the steps to complete your registration effectively.

1. Press the ‘Get Form’ button to access the Pride Group Registration form and open it for editing.
2. Begin by filling out the demographic information section. Enter your name, the date, preferred gender, age, and birth date. Make sure to include your complete address and both home and cell phone numbers. Additionally, indicate your preferred pronouns and any other names you may use.
3. Next, provide details about your education and ethnicity or race. Include the name of your school as well.
4. Fill in the emergency contact section by entering the contact's name and phone number. This information will be critical in case of an emergency.
5. Move on to the first parent or guardian contact information. Enter their name, relationship to you, date of birth, and full address. Include telephone numbers for home, mobile, and work, as well as their email address.
6. Repeat the previous step for the second parent or guardian contact information, ensuring you provide the same level of detail.
7. Document any current medications you are taking for mental health or physical issues. For each medication, write down the name and dosage.
8. Identify your healthcare provider by providing their name and phone number.
9. List any major medical problems you have faced, including chronic illnesses or significant injuries.
10. Address any mental health-related concerns or previously diagnosed conditions in the designated area.
11. Indicate if you have any allergies and describe them if applicable.
12. Use the space provided to ask any questions you may have for your therapist or group facilitator.
13. Review the policies on mental health practices and confidentiality provided by Firefly Counseling Services. Once you have read and understood them, sign the form to authorize mental health counseling or group support. Include the date of your signature.
14. After completing all sections, you can save your changes, download a copy of the filled form, print it out, or share it as needed.

Take the next step in your journey by completing your Pride Group Registration form online today.