JOIN THE WAITLIST Name * First Name Last Name Email * Which book are you interested in joining the book club to read? * What would you like to gain from reading the book and joining the club? (i.e. specific skills, etc) If your child is in residential or “away” treatment, please share what stage they are in (i.e. just left for treatment; been in treatment for # of months; coming home soon). Is there anything else you’d like me to know? How did you hear about the Next Chapter Book Club for parents? A friend or acquaintance A therapist or mental health professional A residential treatment program Other Name of referrer or program Thank you!