Social Skills Group

Name: Social Skills Group
Start: 2025-02-22T12:00:00+00:00
End: 2025-02-22T15:00:00+00:00

Social Skills Group - February 2025

Please contact your CSC once submitting this form. Chasing 7 Dreams will contact you with next steps on completing registration.

Vendor # PJ5710

Child's name

First

Last

Child's Age (9 - 17)

Parent/Guardians Name

First

Last

Parent/Guardians Phone Number

Parent/Guardians Email

Are you a Regional Center client?

CSC Worker's Name

First

Last

CSC Worker's Phone #

CSC Worker's Email

Are your services through self-determination or regional center? Are your services through self-determination or regional center?

FMS Phone #

Name of FMS company

If you are NOT a client through regional center or self-determination, would you like more information on how to apply for a scholarship?

Is your child potty trained?

Does your child have behaviors?

Please explain

Does your child elope?

Has your child participated in social skills?

What are you expecting for your child out of this program?

CAPTCHA

If you are human, leave this field blank.

Contact info@chasing7dreams.org for more information.

Event Details

February 22, 2025

12:00 pm — 3:00 pm

Upcoming Events