Thank you for your interest in our social skills classes! Name of Child * First Name Last Name Parent Email Address * Parent Phone Number * (###) ### #### What sessions are you interested in? * Session 1 (September 20-October 18) Session 2 (November 1-December 13) Both How old is your child? * Does your child have an IEP/private evaluation? Are you are willing to share it with us? * What social skills are you working on at home? * What social skills are you wanting your child to improve? * Being Part of a Group & Recognizing Expecations Using our Whole Body & Mind Self Awareness & Self-monitoring Our Behavior in a Group Learning More about Observing Others Figuring Out with People Mean by What They Say More Complex Feelings/Figurative Language/Abstract Thinking How did you hear about us? Thank you! We will be in touch soon!