SQUAD Sign-Up
SQUAD & SQUAD Jr. is an afterschool social skills program that utilizes evidence based curriculums. Completion of this form does not represent acceptance. Enrollment will still be required.
Participant's Full Name
*
First Name
Last Name
Participant's Age
*
Grade
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have an IEP or 504 Plan?
*
Yes
No
Are you a New Family?
*
Yes
No
How did you hear About Us?
*
Social Media
Email
Referred by Current Participant
Google
Other
Are you interested in any of the following?
*
ABA
SLP
OT
Academics
Social Nights (Parent Nights Out)
Sign Up
Should be Empty: