Class Interest Form
Thank you for your interest in our social skills classes. Please complete the following information. Your name will be placed on an interest list. As soon as we have new classes available, you will be notified. Once you are notified, you will be able to schedule an intake interview to determine if our program is a good fit for your child.
Child's name
*
First Name
Last Name
Child's age:
*
Child's grade:
*
Please Select
PreK
K
1
2
3
4
5
6
7
8
9
10
11
12
Child's age
*
Child's current school grade
*
Parent/Caregiver name
*
First Name
Last Name
Parent/Caregiver Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Caregiver email
*
example@example.com
Parent/Caregiver best contact number
*
Please enter a valid phone number.
A $30 intake fee is charged when you schedule an intake. Will you need this fee waived?
*
Yes
No
Will you need scholarship support for your child to attend this program?
*
Yes
No
I'm not sure at this time
1st Location Preference
*
Please Select
Katy
Missouri City
Sharpstown
Spring Branch
2nd Location Preference
*
Please Select
Katy
Missouri City
Sharpstown
Spring Branch
Submit
Should be Empty: