Client Registration Instructions

If a new client, fill out the client registration down below. If your a parent and your child is receiving counseling services here at Olive Tree and you are in need of financial assistances, fill out the application for the Pay It Forward Program

*PAY IT FORWARD PROGRAM IS ONLY AVAILABLE FOR PRE-TEENS AND TEENS IN MIDDLE OR HIGH SCHOOL THAT ARE RECEIVING COUNSELING SERVICES AT OLIVE TREE RESOURCES

Client Registration

All Registrations Will Be Processed Within 3 Business Days

Clients Name

Email*

Phone*

Age *

Are You An Existing Client Or New?

Is Client A Minor? If Client Is A Minor Type "YES" And Fill out The Parental Questions

Parent Name

Parent Number

Parent email

I Applied For The Pay It Forward Program? Yes or No

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Olive Tree Resources, Inc

P.O. Box 1031, New Albany, IN 47151, us

(502) 523-3803

Pay It Forward Program

All Applicants Must Be In High School Or Middle School

Name Of Minor

Email*

Phone

School Name