Spring: ABA Social Skills Group

  • You and your child are invited to participate in our social skills and parent training group. This group will be an opportunity for your child to engage with their peers in games, songs, crafts and activities. Groups will teach skills such as taking turns, cooperative play, sharing, engaging in social conversation, team work, group responding, imitating peers and more. 

  • 1 adult must be present for the entire session

  • Attendance at all 6 sessions will provide the most benefit, so please plan to attend every session for the best experience.

  • This is a private pay group and therefore insurance is not accepted

  • This group is offered 4 times a year, this current registration is for our Spring session starting in April.

When:  Fridays from 5:30 PM- 6:30 PM

  • April 3rd, 10th, 17th and 24th
  • May 1st and 8th

Ages:   3 years to 7 years    

Cost:    $50 per session OR 10% discount at $270 if paid ahead in full

Where:  Achieve Pediatric Therapy Clinic, 11602 Lake Underhill Rd in Orlando, 32825

Email *
Parent Guardian Name *
Parent Guardian Name
Phone Number *
Child's Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Gender  *
Does your child have any allergies? *
Please select any maladaptive behaviors your child engages in frequently (more than 3 times per week). *
Required
Can your child sit quietly during group attention. *
Please share some activities your child likes to do for fun. *
Please rate how confident you feel managing your child's behaviors and social skills development. 
1 Star= Not Confident
5 Stars= Very Confident
 *
Do you currently have an ABA provider? *
What strategies have you used in the past to manage your child's behaviors? *
How do you teach your child new skills? *
How did you hear about our group? *
Required
I understand a $75 deposit is required to hold my spot by Monday January 12th. This fee will be applied to cover the first session. Please call our office for payment or pay online via Zelle.

Call our office: 407-277-5400 
Pay online via Zelle: Zelle QR Code 
Zelle Tag: achieve-ped-therapy
 *
Captionless Image
Required
Thank you for taking the time to complete this registration form. Looking forward to meeting you at ABA Social Skills Group
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Achieve Pediatric Therapy.

Does this form look suspicious? Report

Google Forms