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ie. social skills groups, tutoring, coaching, family training, support
Please submit a new registration form for each opportunity and/or group
OR
give us information of your specific needs and/or interest. New groups or individual sessions will be considered from gathered information
.
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Indicates required field
Group/Activity
*
Please write in the Group/Activity that you are interested in/registering for.
Participant Name
*
Age of Individual Requiring Services
*
If you are registering your child for a social group/activity, please put in their grade level.
City you live in
*
Referring Individual
*
First
Last
If you are an adult registering for services for yourself just retype your name in this box again.
Relationship to Individual
*
Self
Family Member
Organization
If you are inquiring about an adult program, please check one of the following:
Phone Number
*
Email
*
List any questions/concerns/specific needs you have below:
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Email The Social Coaches with
Individual Questions
Megan Tafel
Sabra Evans
Christine Rans
Blog Post-March 2