Group Interest
Let us know what groups you want to see in 2024!
What groups are you interested in?
Positive Parenting Support Groups
Positive Discipline Parenting Education Classes
Open gym/Sensory Room
Parent's Night out
Preschool Social group
Elementary Social/Friendship group
Middle school Social/Friendship group
High School Social/Friendship group
Kids Yoga
Cardio Drumming
Health and Wellness Group: Setting goals and new healthy habits and routines
Other
How did you hear about us and these groups?
Social Media/Online search
Therapist referral
Monthly Newsletter
Physician Referral
Other
Your Child's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Primary Diagnosis
Caregiver/Parent Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Best way to contact you
Email
Phone
Other
Best time for group
Morning
Afternoon/after school
Evening
Weekend
Other
What do you hope to gain from the group(s)?
Submit
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