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MY ENROLLMENT FORMS

PLEASE COMPLETE THE FORM THAT IS FOR YOUR CLASS

YOU MUST COMPLETE A NEW FORM EACH TIME YOU START A PROGRAM.

Support Group

SURVIVOR GROUP FORMS

Our Program accepts referrals from Indiana Department of Child Services (DCS), to obtain a referral contact your Family Case Manager. If you are not involved with DCS, consider contacting Indy Champions for Safety by clicking here.

BATTERERS INTERVENTION GROUP FORMS

Our Program is Certified by Indiana Coalition Against Domestic Violence, to contact them you may click here.

Support Group
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