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Farsi Women’s Groups Application Form

Farsi Women’s Groups Application

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Date of Birth*
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Group Information:

Please indicate which group(s) you are interested in:*
FARSI WOMEN”S SUPPORT GROUP is a 6 week program which focuses on self-confidence, assertiveness, communication skills, parenting, healthy relationships, immigration and settlement issues, self-care, health & wellness and community Resources. This group will be delivered in Farsi.

Emergency Contact Information:

Client Consent to Services:

Date Application Signed and Completed