Group Classes Application

Please submit the following form to apply for any of our group classes. Keep in mind that the completion of this form does not guarantee enrollment, which is contingent on a meeting with both the parent/caregiver and the child.

Parent/Caregiver's Name

First Name

Last Name

Phone

(###)

###

####

Which semester(s) are you interested in?

Fall 2024 (September 9 – January 31)

Spring 2024 (February 3 – June 23)

Which location(s) are you interested in?

Brooklyn

Long Island City

Long Island

Tribeca

Upper East Side

Upper West Side

Is there any specific day or class you're interested in?

Preference does not guarantee placement.

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Child's School

Child's Grade

Description of Child's Social Skills:

Please describe (in detail) any behavioral concerns.

If your child demonstrates physical aggression and/or challenges with impulse control/self-regulation, please describe (in detail) what this looks like, so that we can make the most appropriate recommendation for your child. If none, please write "none".

How did you hear about us?

Group Classes Application

About

General

Services