Group Interest Form

What IF your child could have a fun-filled group where strengths were seen first, goals were targeted strategically, and your family felt supported?

GROUP ENROLLMENT

Complete the fields below and a Holland team member will contact you regarding group enrollment. Scholarship funding is available for families who qualify.

* Indicates required field

Child's Name *

First

Last

Child's Age *

I'm interested in *

Parent's Name *

First

Last

Phone Number *

Email *

Primary Concern *

Available Days & Times *

Additional Information *

Submit

GROUP Interest Form

GROUP ENROLLMENT

Location

Contact Us