Social Thinking Application for Existing Clients Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastGrade *Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Post-secondaryDate of Birth *AgeParent's Name *FirstLastEmail *Phone Number *Address *Address line, City, Province, Postal codeSchool Name and District/City:Date of ApplicationPrevious Group? (Please, indicate group leader and time) Preferred Group Mates?Preferred Location(s) *West VancouverRichmond (PAFN)Surrey* Please note that your chances of gaining a placement directly relate to your availability! If your child is home-schooled, attends college, or has a flexible schedule, please note this as it will also increase your chances of obtaining individual treatment spots that would otherwise not be filled.Select All Available Days/ Locations *Mondays - SurreyTuesdays - West VancouverWednesdays - SurreyWednesdays - West VancouverThursdays - West Vancouver* Please note increased flexibility will allow us more options to find the best fit for your child in terms of group.Please note any time restrictions on the selected days/ locations. *Additional NotesCommentSubmit * Please note, we cannot guarantee the confidentiality of information transmitted through e-mail including the intake form. Please be aware of this limitation when contacting us.