ASPIRE Full Day Group Summer Program Enrollment/Intake Form
Please fill out a seperate form for each child you wish to enroll in ASPIRE's Full Day Summer Programming. This intake form has two sections. The first will collect information about your child and the sessions in which you are requesting they be added to. The second section will collect basic assessment information across communication, social, and play domains, as well as allow you to provide information about any challenging behaviors your child presents with. We will take the information gathered from your enrollment form to determine if we can appropriately place your child in a group based on age, ability, and space. If matched with a group, we will reach out to you to confirm your child's enrollment and provide payment options. If you are a new ASPIRE client wishing to have services billed through your insurance plan or another funding source, we will also begin the intake/preauthorization process with you.

Location: 2525 Wallingwood Dr., Bldg #14, Austin, TX 78746
Session Dates: 6/6 - 8/12
Session Times: 9:00 - 3:00 (with full or half day options, and aftercare from 3:00 - 5:00 available)
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