Social Skills Application

Parent/ Guardian *

Phone *

Email *

Child's Name *

Child's academic grade in Fall 2026 *

Child's Birthdate *

What are your three primary concerns regarding your child's socialization? (Or: why are you seeking social skills support?) *

What is your child's communication like? *

Their language is most similar to younger peers

They use full age appropriate words and phrases

They use an AAC to communicate

Their language is advanced for their age

Is there anything else you'd like to share?

After pressing the "submit" button below, you'll be directed to our calendar page to schedule an informational call. During this call we'll talk briefly about your child's specific needs and discuss how our social skills group may benefit them.

It's an opportunity for us to better understand the type of support you're looking for and ensure that our program is right for you/ your family. Talk to you soon!