LEGO Club - Fall Session

Just a reminder that the LEGO club, offered by the Autism Society of Greater Akron, is intended to foster friendships in a relaxed and supportive atmosphere. It is not intended as therapy or treatment for autism or any mental health or physical disorder. The Autism Society of Greater Akron is not able to provide medical or psychotherapeutic advice, diagnosis, or treatment.

 

PARENT/GUARDIAN INFORMATION

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

ABOUT PARTICIPANT

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

If participant gets upset, what are things the LEGO teacher can do to help?

Invalid Input

Does participant have any health issues or allergies that we should know about?  (seizures, etc.)

Invalid Input

As a parent/guardian, what do you hope to achieve by having your participant attend LEGO Club?

Invalid Input

CLUB GUIDELINES, PHOTO CONSENT & RELEASE OF LIABILITY

 

GUIDELINES for LEGO CLUB

  1. Respect the other members in the group. Listen to their ideas or comments and allow them to finish talking before you begin.
  2. Respect everyone’s differences. Different thoughts, interests or ways of doing things are OK.
  3. If a participant is unwilling to follow the Club guidelines, his/her parents will be notified, and membership in the Club could be suspended.
  4. Make new friends and have fun!

 

REMINDERS

  • For safety purposes, a parent/guardian must remain on premise for the duration of the LEGO Club meeting.
  • In order to build rapport and maintain consistency/privacy, participants not registered to be a part of the ASGA LEGO Club (outside friends, siblings, etc.) cannot be permitted to participate.

 

PHOTO RELEASE

I understand that my participant may be photographed and/or videotaped for print or electronic media by the Autism Society of Greater Akron. These are used for training, informational, and celebretory purposes. The identity of participants will not be published without prior permission.

 

RELEASE OF LIABILITY

I understand that my son/daughter is voluntarily participating in the ASGA LEGO Club. I understand that the meetings are not intended as therapy or treatment for any mental health or physical disorder.

In addition, my son/daughter and I have read the guidelines for the LEGO Club and agree to abide by them.

 

By typing my name in the box below, I confirm that I have read and agree with the LEGO Club Guidelines and Release of Liability.  You will receive a copy of each of these in your registration confirmation.

Invalid Input

Invalid Input