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2021-2022 Social Learning Groups
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Email
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Your email
Person Completing this form & contact information (name, address, phone number):
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Your answer
Student's Name:
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Age/Grade:
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Current School/Program student attends:
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Please describe the student's Social Learning challenges/needs:
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Which program are you registering for?
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Elementary Grades K-2 (Thursdays, 4:30-5:45)
Elementary Grades 3-5 (Tuesdays, 4:30-5:45)
Middle School Grades 6-8 (Thursdays, 4:30-5:45)
High School Grades 9-12 (Thursdays, 4:30-5:45)
PEERS Adolescent Group
Other:
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