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Tommy’s Kids/Teens for Teens Referral Form

Please contact Rosie Cohen at (630) 856-6993 to register or simply complete our online registration form. You will be contacted shortly after its receipt by a staff member to confirm your registration.

Regular attendance is very important to the child’s successful participation in the group. Please check below to give your permission for your child’s participation and to indicate you agree to make attending a priority.
* Required