We are excited to announce that we are now enrolling for our social group programming to begin May 6th. Groups are offered throughout the week. Please complete this form to indicate your interest in Spring Social Groups and to identify your child's availability.

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* 1. What is the age of your child?

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* 2. Which of the following group times are you available for? Select all that apply.

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* 3. Samantha will be offering a parent group. Please indicate your preference for day/time (check all that apply). If you are not interested, please select "I am not interested".

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* 4. What is your main goal for enrolling in our social group programming?

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* 5. Please check any of the following that apply to your child.

(Please note: selecting yes does not preclude your child from participating, but it does help us group participants and provide appropriate staffing)

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* 6. What is your relationship to the child?

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* 7. Please provide your first name.

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