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Waypoint Group Registration
Please fill out this form in its entirety. Upon submission, we will contact you complete enrollment. Thank you for your interest!
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* Indicates required question
Email
*
Your email
Participant First Name
*
Your answer
Participant Last Name
*
Your answer
Birthday: Month/Day/Year
*
MM
/
DD
/
YYYY
Guardian Name
*
Your answer
Guardian Email
*
Your answer
Guardian Phone #
*
Your answer
Home address (include city and zip):
*
Your answer
Grade and School 2025/2026 academic year
*
Your answer
Does participant have any limitations that we can try to accommodate?
Your answer
Can participant attend in person on Monday afternoon/evenings in Annapolis?
*
Yes
No
Other:
Required
Which group or groups are you interested in?
Executive functioning group
Elementary social group
Middle school social group
High school social group
Other:
How did you hear about this program?
Your answer
What kinds of people (older/younger, reserved/outgoing, male/female identifying, LGBTQ, athletic, etc.) would the participant feel most comfortable in a group with? Is there anyone they would not feel comfortable with?
*
Your answer
Please briefly describe the participant, and what kind of help they would benefit from.
*
Your answer
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