Social Sabby New Member Registration Form

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Welcome to Social Sabby where your child will learn to be socially savvy!

We are looking forward to welcoming you to our community, but first we'd like to learn more about your child and their needs so we know how best to support them during their time with us.

Once you complete and submit this form to us, we will be in touch to schedule a time to connect and share more about our upcoming programs.

Looking forward to working with you and supporting your family!

All the best,

Kevin and Lorraine Frederick

Owners, Social Sabby

Child Name *

Child Age *

Current Grade *

School Attending *

How did you hear about us? *

Is your child on the autism spectrum? *

yes

Please detail all diagnoses here: *

Is your child non-verbal? *

Yes

If your child is non-verbal, please specify any/all communication systems they use (i.e. sign language, pecs, etc.)

Is your child potty trained? *

Yes

Does your child require 1:1 support? *

Yes

Maybe

Other:

Please list any specific goals you have for your child: *

What are your child's favorite interests / activities? *

Parent / Guardian Name *

Parent/ Guardian Phone Number *

Parent / Guardian Email *

Home Address *

Please list any additional details about your child here that you think we should know, that will help us care for them:

Submit

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