Dads Group Registration

Thank you for taking the time to support yourself by attending Dads Group. We are excited to have you. Please fill out the form below as it helps us plan for and keep our groups safe.

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Dads Group runs on the second Wednesday of every month from 6:30 - 8:00 PM. Please indicate the dates you plan to join us.

Dec 11

Jan 8

Feb 12

March 12

April 9

May 14

Is this your first time at Dad's group?

Yes

What factors motivated you to join Dads Group

I want to make friends with other parents

I am looking for resources

I want to be part of a group

My partner encouraged me to come

My provider encouraged me to come

My mental and emotional health are important to me

I'm not exactly sure

How did you hear about Dads Group?

Social media

My partner

A provider

A friend

Other

In the above if you said provider can you please say a bit more. For example general practitioner, therapist, acupuncturist. Also, if you are comfortable can you provide their name or practice name? (It's important to know where we get referrals)

There are many factors which can make the transition to parenthood more challenging. Which of the following are relevant to your experience?

High expectations of fatherhood

Infertility struggles

Medical complications for my partner during childbirth

Pregnancy or infant loss

Previous mental health complications

Relationship issues

Loss of identity

Isolation

Other

Is there anything else you would like us to know before joining Dad's Group?

Waiver of Liability

This waiver of liability includes any risk of attending groups, engaging in Zoom sessions, telephone calls, emails, or attending any events, workshops or other services provided by Roots Family Collaborative. Attending a group or otherwise aforementioned service is not a substitute for professional mental health care or medical care and is not intended to diagnose, treat, or cure me. I am fully aware and understand that my volunteer support group facilitator is not acting as a mental health professional or medical professional. I understand and agree that I am responsible for what I share in the group setting. I understand the group setting is intended to be a confidential space and I am aware if thoughts of harm to self or others is brought forward in the group, my facilitator will take necessary actions with limited confidentiality. By clicking the box below, I agree to the above and hereby release, waive, acquit, and forever discharge my facilitators and Roots Family Collaborative.

I agree

Help Support More Families in Our Community!

Roots Family Collaborative is a 501 (c)(3) non profit organization and your contribution ensures all families have access to Roots programs and the support they need when becoming a parent

$20

Donation Schedule