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Bala Social Skills Groups for 2021
Dear Parent,
We are very excited to roll out our Social Skill Groups for Winter 2021. Please fill out the short form and we will follow up with more enrollment details shortly.
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* Indicates required question
Name and age of your child
*
Your answer
What's the best phone number to reach you
*
Your answer
Your email
*
Your answer
Parents Name
*
Your answer
Are you interested in any of the following Social Skills Groups
*
First Friends ages 2-4
Connect Kids ages 5-7
Cool 2 Connect ages 8-11
Inbetweeners ages 12-14
Teen Time ages 15-17
Growing Green ages 18+
Required
Please tell us a little more about what you are looking for in a social skills group so we can help you more effectively.
Your answer
What days and times work for you
Please check all that apply
Monday
10:00-12:00
1:00-3:00
3:00-5:00
5:00-7:00
Other:
Tuesday
10:00-12:00
1:00-3:00
3:00-5:00
5:00-7:00
Other:
Wednesday
10:00-12:00
1:00-3:00
3:00-5:00
5:00-7:00
Other:
Thursday
10:00-12:00
1:00-3:00
3:00-5:00
5:00-7:00
Other:
Friday
10:00-12:00
1:00-3:00
3:00-5:00
5:00-7:00
Other:
Saturday
10:00-12:00
1:00-3:00
3:00-5:00
Other:
Sunday
10:00-12:00
1:00-3:00
3:00-5:00
Other:
Please note that all the kids in our social skills groups must be a Connect Plus Therapy client. If you are interested in becoming part of the CPT family please fill out this short intake form
https://www.connectplustherapy.com/check-eligibility-form/
*
My child is already part of the CPT Family
I am interested in joining the CPT Family and will fill out the form above shortly
Other:
Required
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