EF group

Executive Functioning Group
SCHEDULE: Wednesdays 5:00-6:00

March 27 - May 22 **NO GROUP APRIL 17**

COST: $900

GROUP MIN: 3

GROUP MAX: 4
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Parent Name

First NameLast Name
Parent email
example@example.com
Additional Comments
I understand that full payment is due one week prior to the start date. Due to peer matching, scheduling, and planning for this group, we do not offer full or partial refunds when a child is unable to attend.
Should be Empty:

Executive Functioning Group