Instruction and Dragons (I&D) Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in our Instruction and Dragons (I&D) program! Through virtual & in-person team gameplay students will receive gamified Executive Functioning support and build their socialization skills as they embark on an adventure together. Please complete the form below and we will follow up with more information and details on next steps. To learn more, please refer to our website.

Instruction & Dragons

Your first and last name
*

Phone number
*

Email address
*

Your child's first and last name
*

Student's preferred pronouns
*

Age and grade of student
*

Which program format would you be interested in?
*

In-person (Pasadena, CA)

Virtual

Required

Which program format would you be interested in?
*

1:1

Small group format

Required

Please describe here any questions you have about the program.
*

Please select which skill(s) you're most interested in targeting with I&D.
*

Executive Functioning skills

Creative problem solving

Socialization skills

Fantastical world building

Other:

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms