PEERS Play NW Kids Social Groups. If you are interested in having your child participate in a group please complete the following form. We will contact you if we have a group available. All  information will be kept confidential. Currently we only have groups available for preschool aged children.

Parent/Guardian Name(s):
Child’s Name:
Date of Birth:
Grade:
School:
Home Phone Number:
Cell Number:
Email Address:
What would you like your child to gain from participating in a social skills group?
Questions or comments?

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