My Child's Name *

First Name

Last Name

My Child's Birthday *

(this group is for girls who will be 10 years-old as of July 9, 2025)

MM

DD

YYYY

Participation Details *

(please check the following to acknowledge our participation details)

I understand that this group is for girls with ASD and my child has this diagnosis.

I understand that this group is to build social skills and connection. My child may be invited to participate in activities such as: arts and crafts, group games, and role plays.

I understand that Sound Connections does not include individual therapy.

I confirm that my child can successfully participate in small group settings without 1:1 support.

Parent/Guardian connections *

(caregivers are welcome to join and connect with one another)

I will be coming (and staying).

my child will be coming on their own.