Social Group Registration

Welcome to Functional Friends Foundation!
We are a team of occupational, physical, and speech therapists who provide fun, inclusive group programs for children and young adults. Our goal is to build friendships, strengthen real-world skills, and create supportive spaces where every participant can thrive.

**Our social groups are currently full, but we are accepting registrations for our waitlist. As we generate interest we may open additional groups. We will be in touch as soon as a spot opens up!

Child's Name*

First NameLast Name

Date of Birth*

Date

Age*

Gender*

MaleFemalePrefer not to answer

Diagnosis (if known)

Parent/Guardian Full Name*

First NameLast Name

Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email Address*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Relationship to Child*

Which group are you registering for?*

Playful Pals (Ages 3-5)Social Stars (Ages 6-9)Buddy Builders (Ages 10-13)Connection Club (Ages 14-18)

How did you hear about Functional Friends?*