Initial Registration Form for Ages 15 to Adult
Thank you so much for your interest in the SO MUCH TO GIVE INSPIRATION STUDIO!  Please complete this form to the best of your ability with as much detail as possible.  

PLEASE NOTE:  This form needs to be filled out ONE TIME ONLY!  We parents have enough paperwork to deal with!   Once your information is reviewed, you will be added to our e-mail list and eligible to sign up for sessions, provided we are equipped to meet the participant's needs with proper supports in place. 

Should you have any general questions or wish to discuss a participants' specific needs, please do not hesitate to e-mail me at InspirationstudioSMTG@Gmail.com and let me know that you are filling out the form and would like to set up a time to talk.  We are dedicated to doing everything we can to enrich and enhance the lives of the families we serve and are so happy you found us!    
                                                                                                                     
                                       Sincerely,
                                Maureen Stanko
       Director of the So Much to Give Inspiration Studio



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Email *
Name of Person Completing Form: *
Relationship to Applicant *
Required
Cell phone number of person completing this form: *
Applicant's Name (If different from above)
Applicant's Full Address: *
Participant’s Date of Birth: *
Please check all areas of interest of participant: *
Required
Please provide as much information as possible to help us to understand the needs of the participant.  If the participant has communication difficulties, please describe. *
Please share all areas of strength of applicant with as much detail as possible. *
Does participant need 1:1 assistance or supervision for any of the following?  (Please indicate with a check if yes.) *
Required
Are there any known allergies we need to be aware of?  If so, please instruct us on any actions that need to be taken should an exposure occur.

 *
If the participant displays any behaviors that could compromise personal safety or the safety of others, please explain the behavior(s) of concern as well as the proactive measures you feel can be taken to ensure EVERYONE'S safety while the participant is in attendance. *
Please explain any triggers that might cause upset as well as de-escalation strategies (if applicable): *
Inspiration Studio activities will be staffed at a 5:1 ratio.  Will this be appropriate to meet the needs of participant in a "drop off" situation?  Please explain below. *
Will participant need to be in attendance with a parent or caregiver in order to have a safe and productive experience?  (All are welcome!) Please explain your answer below. *
Please let us know how we can we best help the participant socially. Is there anything in particular that you would like us to be working on?     *
Please list any other programs you have found to be beneficial for the participant. 
If participant is interested in music, please list favorite artists/bands/genres of music enjoyed.
Please share any additional information you feel may be important for us to know in order for us to best serve the participant.  (Please know that if something is relevant to you, it will be relevant to us!) *
THANK YOU FOR YOUR INTEREST!  We look forward to meeting you!


So Much to Give Inspiration Studio


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