Group Services Registration

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Group Services Registration

We are committed to offering meaningful services that reflect the real needs of neurodivergent individuals and their families. Our groups are designed to build connection, support skill development, and foster a strong sense of identity and resilience.

Our services are thoughtfully designed to meet clinical needs while remaining flexible and person-centered. We integrate evidence-based approaches with lived experience to promote resilience, confidence, and a sense of community. Whether you are navigating life with a differently wired brain or supporting someone who is, we are here to support you.

Please fill out this form to request sign-up for one of our currently offered groups or to express interest in a similar group in the future. We will reach out to confirm and arrange next steps.

Current Group Information:

Boys Social Group (ongoing and will accept new registrants): Click Here for Information

Empower Parents Ages 14-19 (spring - 1 spot left): Click Here for Information

Empower Parents Ages 11-14 (fall): Click Here for Information

Summer Day Program: Contact christina@drjuliaryan.ca for information and an intro call

Are you filling this form out for yourself or someone else?

Myself

My child/ dependent

Other (please specify)

Other:

Name of person completing form

Participant Name *

Participant Age *

Participant DOB

YYYY

Contact Email *

Contact Phone Number

I want to sign up for:

Empower Parents Support & Skills Group ages 14-19 (Spring group)

Empower Parent Support & Skills Group ages 11-14 (Fall group)

Social Skills Group for Boys 11-14 (ongoing; Saturdays 1pm)

Summer Day Program for Autistic Teens

Please tell us a little more about yourself/your child and what you hope to gain from the group you are signing up for:

Future groups I would like to hear about:

Empower Parents Support & Skills Group (autistic kids/teens)

Social groups

ADHD workshops

Social-emotional skill groups

Interest base groups - dungeons and dragons

Interest based groups - drawing/crafts/digital art

Interest based groups - anime

Interest based groups - coding

Interest based groups - plans, gardening

Interest based groups - reading/book club

Interest based groups - board games

Interest based groups - transportation/transit

Interest based groups - pokemon

Interest based groups - pop stars

Interest based groups - Psychology/autism/neuroscience

Interest based groups - Astronomy/space

For clients under 16: Custody

I, the parent/guardian requesting service, have sole custody

I, the parent/guardian requesting service, have shared custody

I, the parent/guardian requesting service, have sole medical decision making authority

I, the parent/guardian requesting service, have joint medical decision making authority

Other:

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Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone

Second Parent/Guardian Name

Second Parent/Guardian Email

Second Parent/Guardian Phone

How did you hear about the group you are looking to join?

Is there anything else you would like us to know at this stage?

We send regular newsletters with updates about our services and resources in the community that we feel would be beneficial to our clients (including other group opportunities). Interacting with our website adds you to our list automatically. If you do not want to receive these emails, please enter your email below.

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