Registration for Social Thinkers Club

Vybrant Potentials understands the importance of social skills, as they form fundamental building blocks of social interactions for children and preteens. Social Thinkers’ curriculum highlights the importance of teaching youngsters how to communicate effectively, promote self-awareness, make responsible decisions, and respect others’ feelings. We incorporate these aspects by methods of parallel and co-operative play. The goal is to help children/preteens develop empathy, kindness, and good listening skills, which are all essential components of successful social interactions.

Parent Name

Child Name

Email address

Child's Age

Child's Gender

Female Male

Is your child diagnosed?

Yes No

Does your child imitate you or other children?

Yes No

Can your child take turns in games and respond to losing appropriately?

Yes No

Does your child respond to questions directed to them?

Yes No

Does your child understand and respond to verbal directions?

Yes No

Does your child engage in socially unexpected behaviors (i.e. impulsive behaviors, long-lasting meltdowns, physical aggression)?

Yes No

If yes, please explain.

Does your child have difficulty staying seated during group instructional time?

Yes No

Does your child have difficulty staying focused for more than 30 minutes?

Yes No

How would you prefer to make payments? Total payment for Social Thinkers Club is $770.

$55, Weekly $770, One Time Payment

Please list possible days and times your child would be able to attend virtual group sessions. Social Thinkers meets twice a week for 45 minutes.

Social And Play Skills

Please describe your child’s interaction and play with other children:

Initiation with others:

Ability to maintain social interaction:

Negotiation/problem solving skills:

How does your child do in group situations:

Ability to follow directions during a game:

Are there any activities your child tends to avoid?

Other comments or concerns:

Consent Form

By checking the box below, the parent / guardian agrees to the following statement:

I agree and give consent for my child to participate in the Social Thinkers Club Program operated by Vybrant Potentials LLC.

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