Participant

Watly Foundation Participant Application
If you or your child are struggling with depression, anxiety, autisum or any other type of mental health problem, and are seeking help from us, please fill out the participant application form online or down load the form and send it back to us.
download_pdfDownload Participant Application
Participant Information
Participant’s contact information

  • DOB:


Employment Status
  • Employed, Company:
  • Unemployed
  • Student, School:
Parent or legal guardian’s information if participant is minor




What kind of support can we help you with?
  • Therapy session/consulting
  • Financial support for professional treatment
  • Group therapy
  • Youth mental health resource
  • Others: