Please fill out the form below to sign up for our Summer groups! Which group would you like to sign up for? * Please choose which group you want. The therapist will look over the information to determine if the child is appropriate fit for the desired group. Your spot is not confirmed in the group until you receive confirmation from Little Rainbow and the payment is made. Script to Speech Little Talkers AAC All-Stars Social Superstars Food Explorers Move and Groove Ready to Regulate Mighty Writers Little Scribblers Caregiver's Name * First Name Last Name Child's Name * First Name Last Name Child's Age * Email * Phone * By participating, you agree to Little Rainbow's SMS privacy policy. (###) ### #### Please state your child's current diagnosis(s). * Please state your child's communication preferences. For example, AAC user, non-speaking, uses sentences, etc. Please provide a short description of your child and what your current goals are. * Thank you! A member of the Little Rainbow Pediatric team will be in touch shortly.
