Group Enrichment Program Interest

Indie Learning Co. — Let's Connect

Thank you for your interest in Indie's group enrichment program. At this time, we are enrolling for our Indie Innovation Center. Leave us your contact information and a member of our team will reach out with more information!
We're glad you're here. Tell us a little about your family and what you're looking for — this helps us make sure Indie is the right fit and prepare for a real conversation when we connect.
Parent / Guardian Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Child's First Name*
Child's Birthdate*

MonthDayYear
Date
What brings you to Indie? Tell us a little about your child.*
There's no wrong answer here. We just want to start getting to know them.
I am interested in:*

Group Enrichment ProgramTherapy ServicesBoth
How does your child currently communicate?*

Spoken languageAAC (augmentative and alternative communication)Sign language / ASLWritten or typed communicationGestures and body languageMix of multiple methods
Are you currently connected to any of the following funding sources?*

ESA (Empowerment Scholarship Account)Arizona DDDPrivate insurancePaying privatelyNot sure yetStill figuring out funding — I'd love guidance
How many days per week are you interested in?*
please choose the schedule option that you are interested in
What type of schedule are you interested in?*

Half Day ScheduleFull Day Schedule
If half day, which session would you prefer?

AMPM
What is your anticipated start month?

MonthDayYear
Date
How did you hear about Indie?*

Word of mouth / referralInstagramGoogle searchAnother familyA therapist or providerOther
Child’s Age:*
Our Innovation Center is built for learners benefit from a dynamic, project-based experience—offering hands-on exploration, interdisciplinary studios, and increased opportunities for independence, collaboration, and problem-solving.

Both programs share the same neurodiversity-affirming values and integrated supports, while meeting learners exactly where they are developmentally.
I am interested in:*

Indie Innovation Center (Pre K - 12 years)
Should be Empty:

Indie Learning Co. — Let's Connect