Sign Up Form for Homies Group Name * First Name Last Name Email * Phone (###) ### #### Child's Name Child’s Age & Current Grade Will any siblings be attending events with you? Yes No Would you like to be added to our private Facebook group? Yes, please send an invite! No Preferred Method of Contact for Event Updates Email Phone Call Text Message What type of activities does your child enjoy most? (Check all that apply) Social events (bowling, movie nights, parties, etc.) Life skills (cooking, art workshops, budgeting, etc.) Sports & recreation (adaptive fitness, swimming, etc.) Community involvement (volunteering, outings, advocacy events, etc.) How did you hear about The Homies? Social Media Word of Mouth Healthcare Provider Event Additional Comments or Special Requests? Thank you!