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Social Skills Groups – NYC
Refer A Child
Social Skills Groups - NYC
Parent's Name:
*
Child's Name:
*
Phone Number:
*
Preferred Therapist:
Which sessions are you interested in?
Weekly small groups: Thursdays 3-5 pm and 5-7 pm
Weekly Saturday groups: Each Saturday 9:30-11:30 am
Monthly Saturday groups: 9:30-1:30:
School Days off: 9:30-1:30:please check on dates attending below
If you are interested in the school days off please check off which dates:
*
1/4
1/11
1/18
1/20
1/25
2/1
2/8
2/15
2/17
2/18
2/19
2/20
2/21
2/22
2/29
3/7
3/14
3/21
3/28
4/4
4/9
4/10
4/11
4/13
4/14
4/15
4/16
4/17
4/18
4/25
5/2
5/9
5/16
5/23
5/30
6/6
6/13
6/20
6/27
Additional Preferences:
Submit