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Monthly Bracing Groups - Interest and Registration
We're creating a fun, supportive space for our bracing patients to connect, be creative, meet other kids with scoliosis, and share experiences outside of a clinical setting! These monthly gatherings may include rotating activities, such as decorating your brace, yoga, mindfulness, and arts and crafts. Everything will be focused on community, self-expression, and wellness - rather than a clinical or therapeutic setting. This form will help us plan group sizes, get a sense of who's interested, and begin Fall registration. Filling this out does not commit you to attending, but we would love to have you! All stages of bracing welcome! Groups will be held from 4:30-6:00pm monthly on the second Thursday of each month, beginning October 2025 in our clinic waiting room at CHONY 8N. The address is 3959 Broadway, 8N, New York, NY 10032.
Patient Name
First Name
Last Name
Is this something the patient would be interested in/find enjoyable?
Yes
No
Not sure
Is the patient still wearing a brace? If no, feel free to disregard.
Is the patient available on the second Thursday of every month at 4:30pm, beginning October 2025 until June 2026? (Breaking for December) (Dates: October 9th, November 13th, January 8th, February 12th, March 12th, April 9th, May 14th, June 11th). Spring registration will occur in the Fall.
Yes
No
Some dates
Not sure yet
If you plan to attend, please provide an emergency contact number and the guardian accompanying patient to groups:
Best contact method for email updates and reminders:
Our first two groups will be held on October 9th, 2025 and November 13th, 2025. Would the patient like to register for our two Fall sessions at no cost?
Register for October and November groups
Register for October
Register for November
Not sure yet
To help build connection and communication within the group, we may share your name only with other registered participants and group leaders. Do you consent to having patient's name shared in this way?
Yes
No
Submit
Should be Empty: