Small Group Counseling Sign-Up

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Small Group Counseling Groups on Loss will be offered at Miami Whitewater Elementary starting in September. Mrs. Gieringer, our counselor, will lead this group with Karley Groene – Counselor intern. The groups will meet once a week for 6 weeks in the conference room during lunch/recess.

If your child has experienced a significant death or is dealing with the loss of a family member/friend/etc. and you would like your child to participate in the Loss Group, please fill out the permission form below.

Email *

Child's Name: *

Child's Homeroom Teacher *

Type of Loss *

Loss of parent

Loss of grandparent

Loss of sibling

Loss of friend

Other:

By typing your name in the space below, you agree that your child has permission to participate in the Loss/Grief Group at Miami Whitewater Elementary School (2023-2024). You understand that your child will be meeting with Mrs. Gieringer, School Counselor and intern, Ms. Groene during the school day. *

Is there any other information you would like Mrs. Gieringer to know about your child?

Submit

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