Siblings Together Teen Night: One Night Only
Siblings Together Teen Night is a psychoeducational & experiential workshop for teens who have autistic siblings. In this workshop, teens will connect with others who have siblings with autism, grow their understanding of autism, and learn concrete strategies to navigate their sibling relationships. The teen night is a confidential space where attendees will be invited to engage to their comfort level. If you have any questions please free contact Rikia Ancar, LCMFT at rikia@starobincounseling.com or Caron Starobin at caron@starobincounseling.com.  
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Email *
Participant's Name (Non-Autistic Teen *
Participant's Preferred Pronouns *
Participant's Age/Grade *
Participant's School *
Please name and describe mental health and/or medical diagnoses of the Participant. If not applicable, please type, "N/A" *
Please identify current mental health providers providing care to the Participant. Identify the type of care (therapist, school counselor, psychiatrist). If not applicable, please type, "N/A" *
Sibling's Name (Autistic Child) *
Sibling's Preferred Pronouns
Sibling's Age/Grade *
Sibling's School *
Sibling's Diagnoses and age of diagnoses (please include all mental health and medical diagnoses). *
Parent/Guardian Name *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Where do you live (City, State)?   *
Please briefly identify some of the concerns/challenges your teen faces as a sibling of a child with Autism (e.g., explaining autism to friends and family, increased household responsibilities, feeling isolated). *
Please check ALL the dates that you can attend. ONE date with the most attendees will be chosen and then you'll be informed of the FINAL SELECTED DATE by email, phone, or text.  *
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A copy of your responses will be emailed to the address you provided.
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