Middle School Workshop Registration

Navigating Middle School Workshop Series

A psychoeducational wellness program designed to help middle school students build practical social-emotional skills during early adolescence.

Emotion regulation in peer contexts
Managing rejection sensitivity
Supportive friendship building
Assertiveness and boundary setting
Resisting negative peer influence
School belonging
Early identity exploration

Registration Form

Navigating Middle School Registration Form

Student First Name

Student Last Name

Student Grade Level

6th grade

7th grade

8th grade

Student Age

Parent/ Guardian First Name

Parent/ Guardian Last Name

Parent/ Guardian Email

Parent/ Guardian Phone Number

I have read and agree to Baseerah's Navigating Middle School Terms and Conditions.

Permissions & Waivers

I give permission for my child to attend and release the organizers from liability in case of minor accidents.

Photographs may occasionally be taken during in-person workshops for general program documentation or educational/promotional purposes. No video or audio recording will be made. Photography is completely optional and will not affect my child's ability to participate in the four-workshop series.

I give permission for my child to be photographed during the workshops.

I do not give permission for my child to be photographed.

Workshop Series Payment

Price: $60.00

Pay with Card (Stripe)