2019/20 Sibshop Registration

 

I am enrolling my child for the Sibshop for brothers and sisters of children with special brain-based and/or learning needs (ADHD, Down Syndrome, cognitive disability, mental health issues, etc.).

 

All fields marked with a * are required

Parent Information

Country*
Email*
Confirm Email*
Phone*
Would you like your name placed on a list to be distributed to siblings and their families
  • Yes
  • No
Comments

Participant Information

Participants Name*
Birthdate (MM/DD/YYYY)*
Age *
Gender*
  • Male
  • Female
Grade for 2019-20 school year (enter as a number grade only)*
School Attending*
Special needs/allergies/dietary restrictions
Has your child attended a Sibshop before?*
  • Yes
  • No
What do you hope your child will gain from our Sibshop?
Please provide any additional information that you feel would make Sibshops a more enjoyable and educational experience for your child

Sibling Information

Name of brother or sister with special needs*
Siblings Birthdate (MM/DD/YYYY)*
Siblings Age*
Siblings Gender*
  • Male
  • Female
Siblings Disability*
Siblings School Name and City*
Other Sibling's Name, Age, and Gender

Fees and Workshop Dates

Which workshops are you signing up for?

  • All events are on Saturday morning from 9 a.m. until noon and include a snack
  • All workshops are held at The Offsite Collaboration Center, 4235 N. 124th St., Brookfield

Registration fees:

  • $20 per workshop
  • $54 when registering for three workshops at one time

Registering additional children from the same household? (separate registration form required)

  • $18 per workshop for each additional child
  • $51 when registering for three workshops at one time for each additional child

No discounts for those families using third-party payers. Fee is to cover the cost of snacks and materials. You do not need to register for all events at once (unless wanting the workshop discount), but know that we require registration at least a week before an event for proper planning. Space is limited. NO on-site registrations will be accepted.


If the registration fee is a hardship, and your child qualifies for the state's free and reduced fee meal program, they may qualify for a scholarship. Please contact Denise (262-391-1369, denise@goodfriendinc.com) for more information.

*Participants whose registratons are paid by a County waiver are not eligible for scholarships*

I am registering my child for the following Sibshop Workshop(s):

Sibshop Dates
  • September 7 2019
  • October 5 2019
  • November 2 2019
  • December 7 2019
  • January 4 2020
  • February 1 2020
  • March 7 2020
  • April 4 2020
  • May 2 2020

CLTS Waiver Information

If you are paticipating in the CLTS Waiver administered by the County, and your child's case manager has approved funding for Sibshops, please provide his/her contact information here.

CLTS Waiver Case Manager Name
Title/Agency
Phone Number (numbers only no dashes)
Email address

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