Peers Play Services Inquiry Form
Thank you for your inquiry into social groups and consultation services. By filling out this inquiry form, you are sharing information with us confidentially to determine whether our social groups may be a good fit for your child. Filling out this form IS NOT a commitment for services on your behalf or ours.

NOTE: This form is used for our 2025-26 school year social skills groups
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Email *
Please Read Before You Begin:

We want to ensure that our social groups are the right fit for your child and that we can provide the support they need to succeed.

Our social skills groups are designed for children who:

Are verbal and able to engage in some conversation

Have average or above-average intellectual ability

Are able to participate in small group activities with guidance

Can remain in a group setting without 1:1 support

Need support with understanding and connecting with peers and building friendships

Need support with emotional literacy and regulation

Need support with cognitive flexibility 

Need support with building social communication skills

May have a diagnosis such as Autism Level 1, ADHD, anxiety disorders, sensory processing disorder, among others.

May have a background that includes trauma, experience in foster care and/or adoption.

Unfortunately, we are not able to support children who:

Are non-verbal or require AAC to communicate

Have Level 2 or 3 autism (requiring substantial or very substantial support)

Have significant intellectual disabilities

Display physical aggression or severe dysregulation that requires 1:1 support at all times with an adult

🔹 If your child meets the criteria above, please fill out the inquiry form. If you are unsure whether your child meets the criteria, please still fill out the inquiry form as all enrollment begins with a 15 minute complementary call that will help us determine if Peers Play is the right fit. 

🔹 If your child requires different supports than we offer, we encourage you to check resource guide here, created by UW Autism Center (This can be useful even if your child does not have autism) https://www.as360.org/

Please write your initials below to show that you have read this before filling out the inquiry form.

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Parent / Guardian Names (First, Last) *
Phone Number *
Child's Name (First and Last) *
Child's Age *
Child's Date of Birth *
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DD
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Does your child have a relevant diagnosis? Please share if you are inclined to, although not necessary. (Examples: ADHD, Autism Level 1, SPD, etc)
What school is your child attending (if any)?
We primarily offer social skills groups, how these can be supplemented with other optional services. Please select any additional supports you are interested in. 
Please Indicate 1 or more social groups you are interested in for the 2025-26 school year:
What concerns bring you to seek services? *
Has your child received other interventions already? (i.e. ABA, OT, Speech, PT) Please provide a brief overview. *
How did you hear about Peers Play?
Please note referring provider or school if you received a referral. Referrals are not required. 
 *
Anything else you would like us to know about your child?
A copy of your responses will be emailed to the address you provided.
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