Tween and Teen Identity Group: Middle School Edition

Please complete the form below and our intake department will reach out to schedule a pre-group assessment for your teen with their group facilitator. This will help us to determine your teens appropriateness for the group. Please note that this group is for adopted teens ONLY. Please allow 30-45 minutes for the assessment to be completed.

Parent/Guardian First Name*

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Parent/Guardian Last Name*

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Parent/Guardian Street Address*

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Parent/Guardian Zip Code*

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Parent/Guardian State*

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County*

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Parent/Guardian Phone Number*

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Parent/Guardian Email Address*

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Teen First Name*

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Teen Last Name*

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Teen Preferred Pronouns*

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Teen Gender*

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If you chose Other for gender, please specify.

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Teen DOB*

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Age of Teen*

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Grade of Teen*

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Ethnicity of Teen*

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Race of Teen*

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How did you hear about C.A.S.E.?*

Post-Adoption Support Coach

Social Media

My C.A.S.E. Therapist

Therapist Elsewhere

C.A.S.E. or NPAC Newsletter

Other

Please select all that apply.

If you chose Other, please specify how you heard about C.A.S.E.

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Do you consent to receiving general organization communications?*

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I give consent for my child to participate in this virtual Teen Adoptee Identity Group . I understand that this group is clinical in nature.*

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My child will be participating in the group over telehealth via Zoom. I understand the information shared in the group will remain confidential unless there is indication of harm to self or others.*

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I understand that teens are expected to join each session from a private, secure location. I acknowledge that it is forbidden to record the group session.*

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WHEN: 3/5/25, 3/12/25, 3/19/25, 3/26/25, 4/2/25, and 4/9/25 from 5:30-7:00 PM(EST)

WHERE: Zoom (You must reside in the designated areas of Virginia* and have access to a webcam and internet.)

COST: FREE!

Tween and Teen Identity Group: Middle School Edition

Calling all parents of tween and teen adoptees - and adoptees themselves - living in the Northern region of Virginia*!

Register Now for the FREE virtual 6-week Middle School Tween and Teen Adoptee Identity Support Group, led by C.A.S.E. Adoption Competent Therapist Lee Lee Sarlo, LCSW.

Adolescence is a tumultuous time; being adopted adds another layer of complexity. The Northern Post-Adoption Consortium (NPAC) is pleased to offer a FREE 6-week group for middle-school-aged tween and teen adoptees in grades 6-8 who reside in the Northern region of Virginia* to focus on connecting with other adopted tweens and teens, promoting identification as an adoptee, providing a safe space to share feelings and thoughts about their adoption experience and supporting their exploration of identity.

The Middle School Tween and Teen Adoptee Identity Support Group will meet on Zoom on Tuesdays from 5:30 pm - 7:00 pm starting March 5th and continuing on March 12th, 19th, 26th, and April 2nd and 9th. The group facilitators request that all youths enrolled commit to attending at least 5 of the 6 group meetings.

Registration is limited and will close February 6, 2025, at 11:59 pm.

*The Virginia counties of Alexandria, Arlington, Clarke, Culpeper, Fairfax, Fauquier, Frederick, Fredericksburg, Greene, Harrisonburg/Rockingham, King George, Loudoun, Louisa, Madison, Manassas City/Park, Orange, Page, Prince William, Rappahannock, Shenandoah, Spotsylvania, Stafford, Warren, & Winchester.

ABOUT THE FACILIATORS:

Lee Lee Sarlo works directly with children, adolescents, families, and adults to support each person in addressing identified mental health concerns while using goal-oriented and person-centered approaches. Lee Lee provides individualized treatment utilizing Cognitive Behavioral and Dialectical Behavioral Interventions, Mindfulness Practices, Expressive Art Techniques, Play Therapy Techniques, and Empowerment. Some of Lee Lee’s specialties include: anxiety, depression, trauma, adoption, self-esteem, and stress.

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Tween and Teen Identity Group: Middle School Edition