REGISTRATION FORM SCHEDULING The cost for the program is $120 INFORMATION (1 day a week for 1.5 hours of The Incredibles will meet: intervention). Payment is due at the January 30-April 16 time of registration and the fee is (except for March 26) nonrefundable. Thursdays 4:00-5:30

Enrollment deadline: Until filled If you have any questions, please contact: A Social Skills Student’s Name: Dr. Maysoon Biller Group for Parent’s Name: (501) 852-0696 [email protected] Grades 4-6 Address: or Cell Phone #: (501)450-3176 Spring 2020 Email: Registration is on a first come first Name of School and Grade Level: served basis. Please return registration form & Describe any social skills problems that payment as soon as possible to: your child is having. Leslie George UCA Speech Language Hearing Center 201 Donaghey Avenue If your child has had any testing and/ UCA Box 4985 or an IEP, please bring a copy of this Conway, AR 72035 information to the clinic before the first session. Checks payable to: UCA SLHC WHO: Children who function close to their expected grade level but experience social communication difficulties.

WHAT: Social Skills Training Based on Michelle Garcia Winner’s Social Thinking® methodology and materials. Learn social skills in a fun atmosphere with games and activities. Graduate students from the UCA WHEN: Department of Communication January 30-April 16 Sciences and Disorders will facilitate Thursdays 4:00-5:30 the sessions. Supervision for this (except for March 26) program will be provided by Dr. Maysoon Biller, a certified speech- Known to the world as WHERE: language pathologist who has had superheroes Mr. Incredible and UCA Speech-Language-Hearing Clinic extensive experience in social skills Elastigirl, Bob Parr and his wife (corner of Bruce and Donaghey) training. Helen were among the world's greatest crime fighters, saving SCHEDULE: The UCA Speech Language Hearing lives and battling crime on a 4:00-4:30: Opening Routine and Center shall not discriminate in the daily basis. Fifteen years later, Social Skills Lesson delivery of professional services or in they have been forced to adopt 4:30-5:00: Individual Break-out Sessions the conduct of research and civilian identities and retreat to 5:00-5:30: Social Skill Group Activity scholarly activities on the basis of the suburbs to live “ordinary" race, ethnicity, sex, gender lives with their three kids, identity/gender expression, sexual Violet, Dash and Jack-Jack. Can orientation, age, religion, national you help The Incredibles learn origin, disability, culture, language the social skills needed to live or dialect. ordinary lives?