Summer Buddies Group

summer buddies & Lunch buddies groups 2022:
it's back!!

A FUN way to grow your child's social, language, feeding & speech skills over the summer!

There are a few different ways to join us -
your child can join us for Summer Buddies or Lunch Buddies or BOTH!

Summer Buddies and Lunch Buddies are offered on the same days at the same location all summer,
and children may attend either or both.

pricing:

*Children can attend Lunch Buddies only, or in addition to a morning/afternoon session.Children signed up for Lunch Buddies
in addition to a morning or afternoon Summer Buddies session will be fully supervised from drop off until pick up.
**must be receiving weekly therapy services through the summer at High 5 Speech Therapy to qualify for Current Client rate.

Spots Remaining in 2022 Summer Buddies & Lunch Buddies Groups:

This summer's groups are filling up fast!
We cap at our groups at 12-15 kids and are staffed with no more than 3-4 kids per teacher/therapist.

Remaining Spots in July Groups*:
Morning Summer Buddies (3-5 years, 9:30-11:30): 3-4
Lunch Buddies (3-8 years, 11:45-1:15): 6-7
Afternoon Summer Buddies (5-8 years, 1:30-4:30): 6-7

Remaining Spots in August Groups*:
Morning Summer Buddies (3-5 years, 9:30-11:30): 3-4
Lunch Buddies (3-8 years, 11:45-1:15): 9-10
Afternoon Summer Buddies (5-8 years, 1:30-4:30): 8-9

*we do our best to keep these numbers updated and current, but can't guarantee availability.
You will receive a confirmation email within 48 hours of registration; if your desired session(s) is/are full, you will be notified within 48 hours of registration.

• IMPORTANT THINGS TO NOTE •

1. Note that this is a drop-off group: caregivers can drop off and pick up children at the scheduled times.
There will be opportunities for parents/caregivers to join us on occasion by invitation only.
If children have difficulty separating from caregivers,
we will work with families to make a plan for a positive and successful separation.
If your child is a major flight risk, we'll work together to make a safety plan for your child.

2. Please click this link to see our Intake Paperwork Packet for information regarding our
payment policies, payment plans and refunds. This paperwork packet will need to be signed, completed
and returned on or before your child's first day of class.
If you do not have easy access to a printer, a hard copy can be provided to you with no problem.

3. Note: if your child is not currently receiving therapy services at High 5 Speech Therapy,
a free screening with speech-language pathologist and owner, Miss Emily, may be required prior
to finalization of your child's registration to ensure this group is the right fit for your child.
We will contact you after you submit your registration form (below) to schedule the free 15-30 minute
screening if deemed necessary by Miss Emily.

summer buddies & lunch buddies registration

Registration Directions:
Please complete this form. After completing the form you will receive:

1. A confirmation email within 2-3 days
2. An invoice to be paid within 3 days of receipt
3. Possibly a text/email from Miss Emily to schedule a free 15-30 minute screening (if Miss Emily is not familiar with your child and feels this is necessary)

Please note that while we try to update this website immediately if a class fills up, sometimes we aren't quick enough. If class is full for the session you selected, we will contact you immediately to let you know, and you will be added to the wait list.

* Indicates required field

Child's Name *

First

Last

Child's Age at Time of First Class *

Child's Date of Birth *

Child's Gender *

Female Male Non-binary

Your name *

First

Last

Your relation to the child (e.g. mother, father, nanny, grandparent, etc.) *

Cell Phone Number *

Verify Cell Phone Number *

Email Address *

Verify Email Address *

If I need to notify you of a class cancelation (e.g. weather, teacher illness) on short notice, how should I contact you? *

Text Phone Call Email

Would you like your name + phone number to be made available to other parents in the group in case parents want to make playdates outside of group? *

Yes, please. No, thank you.

Your Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact #2: Name of LOCAL Contact *

First

Last

Emergency Contact #2: Cell Phone Number *

Emergency Contact #2: Relation to the Child *

Emergency Contact #3: Name of LOCAL Contact *

First

Last

Emergency Contact #3: Cell Phone Number *

Emergency Contact #3: Relation to the Child *

Would you like to receive a full invoice for your total, or be placed on a payment plan. Details of the payment plan can be seen in #2 of the "Important Info" at the top of this page. *

Pay invoice in full Set up payment plan

If you heard about the class from another source or from a therapist, friend or family member, whom should we thank? If you heard about this group from a specific Facebook group or social media connection, please let us know which one. *

Does your child require wheelchair accessibility? *

Yes No

What are you hoping your child will learn or gain from this group? *

Do you have any concerns about your child's speech and/or language development? If yes, what are your concerns? **If your child is a current client of Miss Emily's, no need to go into detail here. *

Please expand on the concerns you have for the above social skills AND/OR do you have any additional concerns about your child's social skills or how they interact with other kids? If yes, what are your concerns? *

Do you have any concerns about your child's ability to handle emotions or big feelings? Please describe so we can best support your child! *

Please share any fine motor, gross motor or sensory challenges your child has, if any. *

Please share any feeding concerns you may have for your child. Would you describe your child as a picky eater? If so, why? Please note that we may reach out for more details if we feel those details will help us better support your child. *

Does your child currently require one-on-one support at school (e.g. a parapro or teacher's aide assigned to your child or just a handful of children), or do you think your child would need one-on-one support to keep him/her safe, stop him/her from running away, etc? ***This group is designed for children with low-support needs who do not require one-on-one support. If you feel your child requires one-on-one support, this may not be the most appropriate group for your child. We will chat about a safety plan for your child as needed, as well as discuss the approriate-ness of the group as needed. *

The closest bathroom to our outdoor space is a port-a-potty, although a bathroom with toilets is a 5-minute walk away. Please share any relevant details here about your child's needs, anxieties or fears related to either port-a-potties or toileting in general, if any. If your child is not 100% potty trained, please share details. *

Is your child currently receiving any speech/language therapy? If yes AND it's not with Miss Emily, please share relevant details (goals, challenges, location of therapy, name of therapist). *

Is your child currently receiving any other type(s) of therapy? If yes, please share relevant details (goals, challenges, location of therapy, name of therapist). *

Does your child have any medical diagnoses relevant to speech/language development, sensory processing or social skills? This includes autism, Asperger's, sensory processing challenges, selective mutism, cerebral palsy, deaf/hard of hearing, etc. If no, do you suspect any diagnosis, or do you have any upcoming evaluations scheduled to determine a diagnosis? If yes, please share relevant details. *

Does your child have any food sensitivities or allergies we should be aware of as we plan our snack/lunch menu? **Please note: 1) you are always welcome to send your child with their own snack, but we discourage this and 2) if your child suffers from significantly limited food options due to sensitivities/allergies, you may be asked to provide your own child's food. *

Has your child ever been known to be physically aggressive toward peers, teachers, caregivers or other adults? This would include (but is not limited to): throwing items, pushing, biting, kicking, hitting, etc. If so, please briefly describe the behavior. Miss Emily will follow up with you about making a plan to best support your child, and in the meantime, we need all relevant information so we can do our best to keep your child, his/her friends, and our staff safe. *

Please share your child's favorite things, or the things s/he LOVES! This can be TV shows, songs, books, audiobooks, games, activities, colors, animals, etc. Basically anything that we can include in our group to help excite and motivate your child, or things that we can keep in mind as we help our little friends find things in common with each other. *

If your child will be attending any Lunch Buddies sessions, please head on over to the link listed on the right and complete this separate information form. Once you have done so, please click below. *

Done! Not applicable, my child is not doing Lunch Buddies

Click here to complete the Lunch Buddies Info form. This will open in a new window. Once you're done with that, come back here to submit this registration form and wrap things up.

Is there anything else that we should know about you or your child? *

Enrollment policies

Thank you for registering in Summer Buddies! Your child is going to have so much fun - while learning so much! I am confident that you will find the highly experienced group leaders, research-driven programming and child-driven activities in Summer Buddies foundational in supporting your child’s development!

In an effort to create a rich learning environment and to provide children with the best programming possible, please note the following policies:

Refund Policy & Withdrawal Policy
3 weeks before the first class of the month, staff is finalized and class plans begin. As such, we appreciate your understanding that there are no exceptions to the following:

Cancellations by High 5 Speech Therapy: A full refund will be issued if the group is cancelled (e.g. in the event the minimum number of children are not enrolled). In the event that a single class is canceled for any reason, you will be issued a prorated refund for the cost of the single group.
Family cancellations 3 or more weeks (21+ days) before start date: a refund (minus a 25% deposit) will be issued for Summer Buddies if notice of cancellation is received 3 or more weeks prior to the start date.
Family cancellations less than 3 weeks before start date (20 calendar days or less before start date): no refunds will be given and you are still responsible for the full cost of the group regardless of your child's attendance. All payments will be forfeited. If you have agreed to a payment plan, your remaining balance will still be deducted from the card we have on file for you on the 1st of the month.
No refunds are given for missed sessions and no makeup sessions are offered.
Refunds will be made by the original payment method or check.

Insurance Coverage
High 5 Speech Therapy does not directly bill insurance and is an out-of-network provider. This group is a private pay group and payment is due upon registration. If you need to make arrangements for a payment plan or would like to request a scholarship, please contact Emily at emily@high5speechtherapy.com or 970.988.6718 to discuss.

Registration Approval
If Miss Emily is not familiar with your child, Miss Emily will contact you after you register to schedule a free screening to ensure this group is the right fit for your child.

Location Details
More specific location details will be shared with parents the week before group starts.

The outside location will be Dunton Park in Holland.
The inside location will be the High 5 Speech Therapy office (291 W. Lakewood Blvd, Holland). The inside location will only be used when inclement weather is in the forecast.

COVID Precautions

Current Covid protocols issued by the Ottawa County Health Department will be followed.

This is a drop-off class:

Parents can attend Summer Buddies by invitation only. If you think your child might have a hard time separating from you at drop off, please let us know on this form in the last box above and we will all work together to develop a plan for your child!

Liability Waiver:
By registering for a group/class with High 5 Speech Therapy, the parent and/or guardian agrees to:

Release High 5 Speech Therapy, its owners, employees, instructors, volunteers and staff from all liability for injury to his/her child from his/her child’s participation in the class.

PARENT OR GUARDIAN: PLEASE TYPE FULL NAME to indicate that you have read and agree to the policies stated here, including the refund policy, registration approval and COVID precautions. You will be asked to sign a physical copy of these policies when we meet you. *

Submit Registration

summer buddies & Lunch buddies groups 2022: ​it's back!!

pricing:

summer buddies & lunch buddies registration

Enrollment policies

About high 5 speech therapy

summer buddies & Lunch buddies groups 2022:
it's back!!