Social Group Interest Form
Please take the time to fill out this form. Upon receipt, those new to the center will be contacted to set up a "Meet and Greet" appointment. This will allow us to learn about your child and determine which group is most appropriate.
* Required
Email address
*
Your email
Child's Name
*
Your answer
Grade (2018-2019)
*
Choose
Preschool
Transition K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Other
Child's Date of Birth
*
MM
/
DD
/
YYYY
Parents Names
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
My Child IS available for on the following days/times. (Check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
1pm
2pm
3pm
3:15pm
3:30pm
3:45pm
4pm
4:15pm
4:30pm
4:45pm
5pm
5:15pm
5:30pm
5:45pm
6pm
Monday
Tuesday
Wednesday
Thursday
Friday
1pm
2pm
3pm
3:15pm
3:30pm
3:45pm
4pm
4:15pm
4:30pm
4:45pm
5pm
5:15pm
5:30pm
5:45pm
6pm
I am interested in the following group:
*
Social Adventurers ( Preschool-K)
Mad Scientists (Pre-K -Grade 1)
Storytime (Preschool-K)
Think It, Move It (Preschool-K)
Take 1, Take 2 (Elementary)
Around the World (Elementary)
Social Smarts (Elementary K/1)
The Detective Agency (Elementary Grades 2-3)
Superhero Training Academy (Elementary Grades 3-6 )
In the Moment ( Elementary )
YouTube Decoders (Elementary)
Teen Hangout (Middle/High School)
PEERS (Middle/high School)
Parent Coaching
Hanen Group
Required
A copy of your responses will be emailed to the address you provided.
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