Radically Resilient Kids: Social Connection Lab
Humans have a biological need for meaningful connection and with that in mind, we are offering our virtual connection labs!
We have set meeting times and use video chat through Zoom to hold our 45 minute Community Meetings.

*Social Connection Labs*
for ages 8-12 & 13+
Weekly Options:
(8-12y/o)Tuesdays 1:00pm MDT/3pm EDT OR Wednesdays 8:30am MDT/10:30am EDT

(13+)Wednesdays 10am MDT/12pm EDT OR Wednesdays 4pm MDT/6pm EDT

*Show and Share Lab*
for ages 6-8
A show and tell style group for promoting positive virtual learning experiences and practice with shifting from individual to group thinking.
Weekly Options:
Tuesdays 8:00am MDT/10am EDT OR Tuesdays 1:00pm MDT/3pm EDT

Our 45 minute "Labs" are a monthly subscription based group that meet once a week. Parents will be invoiced at the beginning of the month for all of the meetings in that month. (example: August 4 weeks, September 5 weeks)
Subscription includes one 45 minute, weekly community meeting.
$15/week plus one time $10 administrative fee.

Questions?
Please email
Allison SuccessfullySocialNE@gmail.com OR Breann Breann@SuccessfullySocialCO.com
Sign in to Google to save your progress. Learn more
Email *
Social Connection Labs
A comfortable social outlet that kids can rely on for fun and consistency during times of uncertainty!
Name of Child: *
Child's D.O.B. *
MM
/
DD
/
YYYY
Parent Name: *
Parent Phone Number *
Home Address *
What time zone are you in? *
Enroll us in... *
Required
Gender *
Grade Fall of 2020 (if applicable) *
Important info we should know about your child that could impact their ability to be successful in group?Documented learning disabilities? If yes, please describe. *
We would love to get to know your child more. Please rate your child using our 1-5 scale, with 1 being the worst and 5 being the best.
1 Worst
2
3
4
5 Best
Paying attention to others
Asking about others
Showing empathy
Taking responsibility for self
Understanding consequences
Understanding the feelings of others
Accurately identifying body language
Accurately identifying facial expressions
Understanding what people mean by what they say
Asking for help
Greeting others
Personal problem solving
Participating in a conversation
Compromising and/or negotiating
Adding relevant comments to a conversation
Name & email of person responsible for payment: *
I understand each group is $15 and  Invoice for payment will be sent after registration is received- Venmo or Paypal accepted. Thank you! *
Required
I understand that I am responsible for cancelling the weekly subscription via email to Breann@SuccessfullySocialCO.com or SuccessfullySocialNE@gmail.com
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy