Reboot Parent Support Group

Please answer all of the questions below and then click SUBMIT. All information that you provide will be treated in the strictest confidence.

Name *

First

Last

Email *

Phone *

Further Details:

This is primarily a support group for parents with any school aged young person that currently live with a mental health challenge.

Please state who you are currently concerned for:

Name

Age *

Sex *

Do they have any other siblings at home?

Single parent family?

Are they currently attending school *

If not attending school, is there any additional information you want to share?

What are you hoping to get out of belonging to a group such as this? *

If you could include one issue for discussion, what would it be? *

How did you find out about this group? *

Parent Support Group Dates and Times

If not shown below, the venue will be notified to you and will either be in central Tunbridge Wells or Southborough.

Dates, times, venue, number of sessions and cost *

Sept to Oct 13/09/23 – 18/10/23 for parents of Teens (in person) 1.30-3pm - £ 30.00
Jan to Feb half term 03/01/24 – 07/02/24 for parents of primary school age children (On line) 1.30-3pm - £ 30.00
After Easter Hols to May half term 17/04/24 - 22/05/24 for parents of Teens (in person) 1.30-3pm - £ 30.00

Please select which date you would like to register for. If you feel you would like to continue to attend the Parent Support Group for a further set of sessions, you can reapply to attend the next group. In the event that the following group is full, we will notify you.

Emergency Information

In case of emergency, it would help us to have the following information:

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Relationship to You *

Additional Helpful Information

The following information will help us to support you better when you attend our group

Are you currently taking any medication to support your own mental health?

Do you currently have support in place for your child?

If you would like to, please tell us what support you currently have in place:

Does your child have a diagnosis?

If you would like to, please tell us what diagnosis your child has:

Are you waiting for a CAMHS appointment? *

If Yes, how long have you been waiting for an appointment?

Agreement to Payment of Sessions Fee and to Code of Conduct

You must agree to the following statements to be able to submit your request to join the Parent Support Group

I agree to respect the other members of my group, and realise that they may not subscribe totally to my views and opinions. *

I will respect the different choices and different journeys of other parents within the group. *

I agree to be willing to listen to the experiences of the group without the need to assert my opinion or judgement on their personal situation. *

If I have concerns regarding either members or overall mangement of the group that I cannot share openly, I can speak privately to the leader of the session. *

I will hold in confidence the information shared at the group *

I agree to paying the relevant sessions fee as shown above for the group I am apllying to join, unless I have made prior arrangements with Crossways Community *

Please type your name to agree to Crossways Community holding and processing your data for the legitimate reasons associated with the Parent Support Group *

NB. we will never pass your data onto a third party unless required to by law