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Social Groups Inquiry Form

In order to better understand specific needs and provide individualized service to our clients, please complete this form
prior to enrolling in our social groups.
I am seeking services for:
If for a child, please indicate your relationship:

Participant Information

Does the participant have a formal diagnosis?

Guardian Information

Programming Information

Please select the group(s) you are interested in from the list below.

All participants will be contacted by prior to enrollment to complete an intake interview to determine the participant's eligibility. 

Please note that group schedules are dependent on participant interest. All participants interested in groups outside of the current season will be added to the group's waitlist. 

Fall 2022
Winter 2023
Spring 2023
Summer 2023

Thanks for submitting!

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