How to Join 4Square Group

Name and Designation as you want it to appear on the site (i.e. Scott McGrath, M.S.W., R.S.W.).

Business name

Title (i.e. Psychotherapist, Family Therapist, Consultant, Director, Principle Trainer, etc.).

Contact number (office and other - could be cell)

Email address

Website if applicable

Practice area
 Therapy Coaching Consulting Training Psychology

If additional or other, please specify

Membership Type (for more information click here)
 Standard (no fee) Verified ($5/month for verification & additional benefits)

About your practice

About you

Picture - upload any images you would like to use (up to two images profile and bottom of page image).

Terms:
As a member (Standard or Verified) of 4Square Group I will uphold and abide by all applicable professional codes of ethics. I consent to the information I have provided being listed on the 4Square Group website and being disclosed publicly by 4Square Group by other means including in writing, electronically and verbally. If I provide any link to a website to be included on www.4squaregroup.com, its content will not violate any law including human rights law, criminal law and the law of defamation. I will notify 4Square Group immediately if any of the above changes or is no longer true.

I agree to pay the monthly or yearly membership fees. Failure to do so will result in my listing being removed until all outstanding payments are paid in full. I understand that monthly and yearly membership fees can increase one-time per year with thirty-days notice. I am free to cancel my membership at any time via email and will be reimbursed for any pre-paid time remaining on my membership.

By checking this box you accept the preceding terms: