Summer 2026 registration closes on Monday, June 8 at 5:00pm PST
Summer session begins on Tuesday, June 16, 2026 at 10:00am @ Tacoma
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P.L.A.Y. Registration
P.L.A.Y. program offers early learning and support services facilitated by our inspiring team of expressive arts therapists, who specialize in play, music, and dance therapies. P.L.A.Y. also utilizes ABA therapists, occupational therapists, peer support specialists, case managers and social workers. ** Space is limited for Summer 2026 **
Child's Photo
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Child's Full Legal Name
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First Name
Last Name
Child's Preferred Name
Age
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6
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8
9
Child's Pronouns
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She/Her
He/Him
They/Them
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Date of Birth
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Important Information (ex. allergies, tips to support your child, likes and dislikes)
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Family Information
Parent/Legal Guardian(s)
Parent/Legal Guardian Name 1
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First Name
Last Name
Phone Number
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Format: (000) 000-0000.
Email
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Parent/Legal Guardian Name 2
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Address
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Street Address
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Other children in family
Under the age of 18
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Additional Information
Total Family Monthly Income (Gross)
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$0
Less than $2,151
More than $3,496
My family could benefit from services offered through this program.
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Mondays Only
Tuesdays Only
Monday & Tuesday
My family could benefit from Caregiver Respite (up to 4 hours/day) services.
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Not Interested
Friday (once a month) @ Renton
Friday (twice a month) @ Renton
Friday (once a month) @ Seattle
Friday (twice a month) @ Seattle
Saturday (once a month) @ Renton
Saturday (twice a month) @ Renton
Saturday (once a month) @ Seattle
Saturday (twice a month) @ Seattle
Friday and Saturday (once a month) @ Renton
Friday and Saturday (twice a month) @ Renton
Friday and Saturday (once a month) @ Seattle
Friday and Saturday (twice a month) @ Seattle
Fee: $40 per session + $10 per additional child
Does your child qualify/receive Apple Health (Medicaid/state insurance)?
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Yes
No
Unsure
Has your family been impacted by any traumatic/harmful life event(s) within the last 18 months that has affected the child emotionally and/or physically?
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Yes
No
Has your child experienced any of the following?
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None
Aggressive or violent behaviors, including excessive temper tantrums.
Intense or prolonged anxiety or fear of separation from parent/caregiver or other loved ones.
Self-harm (ex. cutting themselves with sharp object to cut your skin, punching themselves or punching things, pulling out/on their hair, poking objects through body openings, or bruising themselves).
Experienced a traumatic life event (ex. witness and/or victim of violence/abuse, loss of a loved one, bullying, secondary trauma, or neglect).
Have difficulty coping with challenges.
Signs of developmentally inappropriate inattention, impulsivity, and/or hyperactivity.
Uses gestures or other movements (such as facial expressions, pointing, miming, or nodding or shaking their head) rather than words.
Other, Not Listed
Is your child receiving services from any of the following systems?
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None
Mental Health Services (Outpatient)
Special Education/504/IEP
Behavior Rehabilitation Services
Other Services Agency
DCYFS Foster Care / Adoption / Family Reunification
Children's Crisis Outreach Response System
Developmental Disabilities Administration
CHINS
Other, Not Listed
We understand that PLAY Therapy service fees are charged at $50.00 per session (up to 3.5 hours) for families who do not have active Medicaid (Apple Health) insurance. We understand that You Grow Girl! does not bill private insurance but can provide documentation for reimbursement.
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We understand.
We understand that Caregiver Respite service fees are charged at $40.00 per session (up to 4 hours) plus $10.00 per additional child. Caregiver Respite is available at one of the two You Grow Girl! locations between the hours of 10:00am & 8:30pm on Fridays and Saturdays. We understand that we are responsible for registering for this service at least two (2) business days in advance whenever possible.
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We understand.
We understand that You Grow Girl! has a late pick-up policy of charging $1.00 per minute for every minute after 3:35pm. We understand that we are required to pay late fees when picking our child up to avoid additional fees. We understand that any unpaid fees may prevent the following session’s drop off. If our child is not picked up by 4:00pm we understand that You Grow Girl! is required to notify the child’s emergency pick up contact(s) and/or Child Protective Services (CPS).
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We understand.
We understand that the program we are applying to uses various therapeutic expressive arts therapy modalities, such as play, art, music, and dance by trained behavioral health professionals.
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We understand.
We understand that the program may also use evidence-based practice interventions, such as, Trauma-Focused Cognitive Behavioral Therapy, Child Parent Relationship Therapy, Parent-Child Interaction Therapy (PCIT), Psychoeducation, and Case management. Or recommend individual, family or group therapy, family wraparound services, vocational services, health care coordination, and medication management as deemed appropriate.
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We understand.
We understand, if accepted, we agree to participate in the completion of a child & family assessment as well as the development of an individualized and/or family care plan that best addresses our child’s emotional, developmental, and psychological needs.
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We understand.
We understand that we are responsible for bringing a backpack for our child to each session containing: a change of clothes, pull-ups/diapers, snacks, and reusable water bottle.
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We understand.
Parent/Legal Guardian Signature
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