Please help us by rating your interest in the following programs 
on a scale of 1-5 (5 being very interested)
Program or class

Interest
1 2 3 4 5

Class for children 3-6 with low tone, motor planning and/or coordination issues to work on basic playground skills such as skipping, jump rope, hopscotch, basic ball skills

Class for children 6-10 with low tone, motor planning and or/coordination issues to continue playground skills, basic ball skills and sports skills
Sport/Fitness class for Children 3-6 who have physical disabilities that severely impair their motor skills or use wheelchairs
Sport/Fitness classes for children 6-10 who have physical disabilities that severely impair their motor skills or use wheelchairs
Sport/Fitness classes for children 10-14 who have physical disabilities that severely impair their motor skills or use wheelchairs

Holiday Parties (Halloween, Winter Holidays, Valentine’s Day) for children with special needs (all types) with their families
Movie Nights-Family movies on a large screen with popcorn, drinks, snacks for children with special needs and their families
Vacation and Summer camps for children with Asperger’s Syndrome, NLD and  high functioning Autistic spectrum
Vacation and Summer camps for children with moderate to severe physical or developmental delays
After School Programs for Children with Special Needs
Circle Groups, social skills groups
Nutritional/cooking classes
Support Groups for Parents
Support Groups for Older children with special needs
Support /social Groups for Siblings of Children with Special Needs
Birthday parties
Any other suggestions or comments regarding programs you would like to see offered:
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Child’s diagnosis:
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Please Note that any information you provide will not be disclosed to any third party.