POTS Summer Social Skills Group

WHERE: Pediatric Occupational Therapy Services 1415 Queen Anne Road, Teaneck, NJ 07666

WHO: Ages 4-5: 5:00-6:00 PM | Ages 6-8: 6:10-7:10 PM

WHEN: Weekly on Mondays (June 24- Aug 12, 2024 (8 sessions)

WHO: Ages 9-11: 6:00-7:00 PM

WHEN: Weekly on Thursday (June 27- Aug 29, 2024 (8 sessions)

No session on July 4th


HOW:  Fill out an application form
A 15-minute in-person interview with your child is required before acceptance into the program

Deadline for applications and deposit: May 24, 2024

FEES: $760.00 includes the program and the interview

For more information, please call us at  (201) 837-9993
Please fill out one form per child.

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Email *
Child's Name: *
I'm applying for the following group: *
Child's Date of Birth: *
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Child's Grade: *
Parent's Name: *
Parent's Cellphone: *
Emergency Contact Name (other than adult listed above): *
Emergency Contact Phone Number: *
What are your goals for your child? *
Has your child had a shadow in school? *
Does your child currently have a behavior plan? *
Is your child currently participating in after school activities? *
Please list. *
Comments or Questions? 
I give permission for photos of my child to be taken for:
 *
Required
  Policies:
  • I understand that tuition for the group is $760.00
  • I understand that a 15-minute in-person interview with my child is required to determine if this group is a good fit.
  • I understand that a non-refundable $200.00 deposit is required to secure my child's spot.
  • I understand that the balance of the full, non-refundable fee is due by May 24, 2024.
  • I will call POTS at 201-837-9993 to provide my billing information.
  • I understand that there are no makeups for missed sessions.
 Please check to indicate your agreement with our policies: *
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