Expression of Interest Registration Form for the Resourceful Adolescent Program (RAP-A)

The Resourceful Adolescent Program (RAP-A) is a free 3 session program designed for adolescents between the ages of 11 and 16 years old.

Participants learn strategies to help build resilience and a variety of new skills through fun activities in a relaxed, friendly atmosphere. The Resourceful Adolescent Program (RAP) helps participants identify their personal strengths, manage stress and conflict and to identify and reframe negative thoughts and unhelpful self-talk. Adolescents who have effective coping strategies may be better equipped to deal with anxiety, depression and stress as they move through the teenage years.

If you are interested, please complete the form and a Veritas House team member will be in touch to confirm your registration.

Name of Parent or Guardian*
First Last
Phone*
Parent or Guardian's contact phone number.
Email*

Parent of Guardian's contact email address.
Name of Adolescent*
First Last
Date of Birth*
DD slash MM slash YYYY

RAP is designed for adolescents aged between 11 and 16. Please provide your child's birth date to indicate their age.
Name of 2nd Adolescent
First Last
Only fill out if registering more than one dependent for RAP.
Date of Birth
DD slash MM slash YYYY

Only fill out if registering more than one dependent for RAP.