On-Line Support Group

Welcome to the Attachment & Trauma Network’s online support communities. In order to get you to the community that will best meet your needs, we need some information from you. Please complete the form below. This information will be sent to our moderators, who will be in contact with you to help you get signed on to the right support community.

The information you give us will only be used by ATN for purposes of assigning you to an online community and informing you about our organization. Your information will not be given to others without your expressed permission. You can read our privacy policy here. You can read our privacy policy <here>

1. *Name:
2. Address

   Street_ Address
   Address (cont.)
   City
   State/Province
   Zip/Postal Code
   Country

3. Phone
4. *Email

5. * Yahoogroups login

Tell us about yourself:

6. Are you currently parenting a child (children) with attachment or trauma issues?    Yes      No
7. If you are not, what areas (reasons) are you seeking support:
a. I’m a preadoptive parent
b. I’m an extended family member
c. I’m a professional interested in attachment & trauma
d. I’m an adult adoptee
e. Other:   
8. How many children are in your household?
9. What are their ages? (please note the children you’re concerned about)
10. What are your biggest concerns? (behaviors, symptoms and issues that you seek support for)

11.  Do you consider your child's issues to be:  Severe    Moderate  or     Mild ?

12. Do you want to be contacted about events in your area? 

Yes      No


13. I give permission to ATN to give my name and email (only) to other families in my area seeking peer support?

Yes      No

1. How did you hear about the ATN & the ListServe?  

After submitting this form, please print out your submissions for your records.  Thanks.

The first 30 days of membership to ATN’s online support communities are provided free-of-charge. After that, you will be asked to join ATN and help us make the voice of traumatized children stronger. If you would like to join ATN now, click here . If you would like to learn more about our scholarship program for those in need, click here.

If you have any questions, contact us at moderator@radzebra.org.