Group Form Thanks for your interest in our groups. This form helps us get a sense of what you’re looking for, and whether one of our current groups feels like a good fit. It takes just a few minutes. We’ll follow up by email with next steps. Name * First Name Last Name Age * Email * Phone (###) ### #### Do you have an ACC Lead Provider? * Yes No Which group interests you? * Mt Maunganui Tūmanako Te Ora Papamoa -TSY- Yoga Rotorua - BAY - Yoga Rotorua EMDR Ideal group start date? MM DD YYYY What days are you available or not available? * Anything else you'd like us to know, e.g., how you see this group fitting with your present needs? Thank you—we’ve received your form.