Clone of 2025-2026 - FE Fall/Winter/Spring Series

Early Fall Series - Select All Potential Days/Times (*4 year old groups are an additional $22.50 per day as we will limit the group to 5 kids):

Late Fall Series - Select All Potential Days/Times (*4 year old groups are an additional $22.50 per day as we will limit the group to 5 kids):

Thanksgiving

WINTER SERIES - Select All Potential Days/Times (*4 year old groups are an additional $22.50 per day as we will limit the group to 5 kids):

February Break

SPRING SERIES - Select All Potential Days/Times (*4 year old groups are an additional $22.50 per day as we will limit the group to 5 kids):

Spring Break

Other Options

Other

Late pick-up policy: Please be on time for pick up at the end of the day, as our therapists often have afternoon responsibilities. There will be a charge of $50 for pickups 5 – 15 minutes late. More than 15 minutes late will incur a charge of $100. This is for the safety of the kids first and foremost, as well as to respect any other commitments that the Therapists may have scheduled after Friendship Explorations.Includes $100 non-refundable administration fee that will be applied toward the cost of the group session. Group is non-refundable unless Friendship Explorations is required to cancel the group at the advice of public health officials. In the event Friendship Explorations is cancelled for any reason, the therapist will contact you to provide individual consultations for your child during the established camp or groups hours. In the case of extended cancellations due to weather, air quality, or other circumstances beyond our control, you may receive a credit towards future services.

Cancellation policy:
$100 change fee
Cancellation: 13 weeks or more: 75% refund minus $100 admin fee
Cancellation: 6-12 weeks- 50% refund minus $100 admin fee
Cancellation: 3-5 weeks- 25% refund minus $100 admin fee
1-3 weeks- no refund

Late arrival or absence: Please let us know in advance if you are going to be late or absent. We can wait for 10 minutes before we need to begin our adventure. Keep in mind that not all locations have service, so you might not be able to reach us after 3:15 at those locations.

Late pick-up policy: Please be on time for pick up at the end of the day, as our therapists often have afternoon responsibilities. There will be a charge of $50 for pickups 5 – 15 minutes late. More than 15 minutes late will incur a charge of $100. This is for the safety of the kids first and foremost, as well as to respect any other commitments that the Therapists may have scheduled after Friendship Explorations.

One-to-One Aides: Some children benefit from individual day-to-day support from an aide. Please contact us directly and we can work collaboratively to determine the best solution for your child, or you are welcome to have your own aide accompany your child. If we find that your child requires additional support after camp has started, we will contact you to discuss best options.

After registering your child, you will receive an invoice from Ready Set GO Therapy which you may pay by check, credit card, or through our online system.

If paying by check, please mail to: Ready Set GO Therapy, Inc. 180 Harbor Drive, Suite 112, Sausalito, CA 94965.

The price of each afterschool session includes a 30-minute consult with the Lead OT or SLP. You can schedule this consultation anytime over the course of the session, or within a week of the end of the session. Please contact our administrative team directly to schedule, by calling 415-339-8800 or emailing info@readysetgotherapy.com.

Check below if you are interested in these additional services:

Child's Information

Child's Name

First NameLast Name

Birth Date

MonthDayYear

Grade Entering

TK or kindergarten enter 0

Parent/Guardian Information

Parent/Guardian's Name

First NameLast Name

Cell Number

Area CodePhone Number

E-mail

example@example.com

Additional Parent's E-mail

example@example.com

Home Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Information

(Please list another individual we can contact in case you can't be reached.)

Emergency Contact's Name

First NameLast Name

Relationship

Does this person have permission to pick your child up?

Phone Number

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Please list anyone that is authorized to pick up your child.

What are your goals for your child during their group? Tell us a brief summary of your child's challenges.

Please share any concerns you may have about your child's safety awareness or ability to stay with the group.

Please describe your child's verbal and communication abilities.

Tell us some of the wonderful aspects of your child.

Has your child ever received occupational therapy or speech therapy?

Please list the other services your child is receiving:

How long has your child been receiving any type of OT services (months or years)?

Has your child participated in outdoor OT before (Friendship Explorations or other)?

Who referred you to Friendship Explorations?

Please let us know of any other friends you'd like to have your child with in the same group:

Health Insurance Company

Diagnosis (if any):

If there is any other important medical information, please elaborate.

Diagnosis:

I understand and agree that my child(ren)’s and/or my own health/medical insurance is primary and agree to be responsible for medical expenses. Check "Yes" below.

Do you agree to the previous statement?

Does your child have any allergies? If so, please list them.

Please upload any reports you would like to share:

Browse Files

Friendship Explorations Waiver

Outdoor play is integral to Friendship Explorations occupational therapy group operated by Ready Set GO Therapy, Inc. We will make every effort to ensure the safety of your child. However, we do want you to be aware that it is possible for accidental injuries to occur in this environment. In addition, please be aware that physical contact with the therapist is common in this treatment setting.

I give permission for my child,

Child's Name

to receive occupational therapy treatment at Friendship Explorations operated by Ready Set GO Therapy.

I hereby agree to indemnify and hold Ready Set GO Therapy, Inc., Friendship Explorations and all its officers, directors, employees, representatives and volunteers harmless from and against any and all liabilities for any injury which may be suffered by me or by my child(ren) arising out of or in any way connected with participation in Ready Set GO Therapy, Inc, and Friendship Explorations program. In the case of a medical or surgical emergency, I hereby give permission, to any medical personnel selected by the staff, to secure proper treatment. I give my full permission for my child(ren) to participate in activities, including but not limited to, hiking, running, climbing trees and playing in water. I acknowledge that group activities may contain an inherent risk of injury.

Any controversy or claim arising out of or related to my child(ren)’s participation in this group will be attempted to be settled by a professional mediation service, then by binding arbitration pursuant to the applicable rules of the American Arbitration Association.

I acknowledge that I understand that the group is non-refundable unless Friendship Explorations has been advised to cancel the group by public health officials. If a day needs to be cancelled, there may be a makeup day added at the end of the session or the pro-rated amount for the missed date may be applied to future services.

I acknowledge that I have reviewed Ready Set GO Therapy and Friendship Explorations Policies and Procedures for COVID-19 safety. I am comfortable with these policies and procedures and consent to my child's participation. I understand that these policies and procedures are in place to mitigate but do not elimitate the risk of acquiring Coronavirus and COVID-19. I accept the potential risk.

Ready Set GO Therapy and Friendship Explorations takes your health and safety very seriously and fully intend to protect and keep your child safe.

Do you consent to the previous statement?

Use of any pictures or videos of my child(ren) that may be used for advertising, promotion and are the sole property of Ready Set GO Therapy, Inc.

Do you consent to photo release?

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature

2026-2027 Fall/Winter/Spring Series

FALL SERIES

WINTER SERIES

SPRING SERIES

Medical Information