Name of Parent/Guardian:
Basic infomation on Child:
What School does your child attend:
Please tell us a little about your child, please check all things that apply.
We expect initial meetings to occur under the direction of trained facilitators
inside SportsSocial’s building. Later meetings may be facilitated
between the parents at other locations. To help us better match the children,
please provide information on how and where these meetings might best occur.
What type of venue would you like to meet at:
Does your child struggle with sensory processing:
What are your child’s physical capabilities:
Does your child have a handicap? If so, please describe:
Boy-Girl Match Acceptable?