Interest Form for Group Classes
Please provide your contact information and let us know which classes you would be interested in taking. This is not a registration form. It is used to help us plan our future class schedule. We can start a class series once we have at least 3 people interested (so tell your family and friends!). You will be put on a waitlist and we will keep you updated with upcoming class dates and times.

Class descriptions:

Spring Classes:
4/9 - Tuesdays 4:00-5:00 PM in Orange, $150 for 6 week session
4/18 - Thursdays 3:30-4:30 PM in Tustin, $175 for 7 week session

Summer Classes:
Send us your location and time requests!

Class size: between 3 to 6 participants
Time: meets for 1 hour, once a week, for 6 to 8 weeks
Location: varies within Orange County, Long Beach, and South Bay
Cost: $150 for 6 week session, cost may vary with location

Contact Karen at or (424) 262-9617 with any questions.

Email address *
Phone number *
Your answer
Name of person completing form *
Your answer
Name of participant *
Your answer
Age of participant *
Participants will be in classes with similar-aged peers.
Your answer
City participant lives in *
Location of classes may vary.
Your answer
Which classes is the participant interested in?
See our website for class descriptions. Check as many as you'd like.
Which time of day can the participant attend classes? Classes are typically 1 hour.
Check as many as you'd like.
Our classes are for children and young adults of all abilities. Does the participant need accommodations or individual support? Please describe.
Participants will be screened for appropriateness in the group setting and around animals. Individual OT services may be recommended if participant is not yet ready to join a class.
Your answer
Comments or Questions
Your answer
A copy of your responses will be emailed to the address you provided.
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