Registration FormPsychodrama Group: Inner Strengths for Outer Changes Name * First Name Last Name Email * Phone (###) ### #### Please select your preferred Payment Option: Regardless of the payment option selected, commitment to all 8 sessions and payment for all 8 sessions is expected. Payment Per session: $75 Payment for 7 sessions: $472.50 (10% Discount Applied) How did you hear about us? * I received an email Refered by a friend Online search Other Message Thank you for your registration!Someone from our team will be in touch with you shortly.If you are already a client of 3Elements Counseling, you will not need an intake session to participate in this group.If you are new to 3Elements Counseling, we will schedule an intake session to ensure this group is a good fit for your needs.Group Dates and Time:Wednesdays, 6:00 PM – 8:00 PMSeptember: 9, 16, 30October: 7, 14, 21, 28If you have any questions or need to contact us, please feel free to reach out at paula.catalan@3elementscounseling.com