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Application Form for Mother Therapy

Posted by Mother Therapy(ip:)

Date 2021-02-18

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Please, provide the following information and register if you want to

apply for Mother Therapy


1. Member ID/E-mail Address/Contact Phone Number :


2. Area of Residence :


3. Age :


4. Period of Marriage (If Applicable) :


5. Children's Gender/Age


6: Children's Psychological Problems :


7. Points of Inquiries :


8. Information on Payment (Date/Your Name/Bank Name)

*Necessary for Payment Confirmation


You will receive a guide e-mail upon the confirmation of payment.

You can build the ability to treat your child's psychology when you

learn about adequate parenting strategies and psychology treatment

methods through Mother Training.

Thank you.





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