Teen Night Out

2017 dates:

1/20, 2/24, 3/24, 4/21, 5/19

All Teen Night Out events take place at:

Forest Road Park Building, 158 Forest Rd, Fanwood, NJ 07023

A peer-mentor, GROUP program for teenagers with special needs, held monthly, focusing on social skills, interaction and fun.

Check out the video below made by, Alexandra Jackman, our peer-mentor leader of Teen Night Out!!

Teen Night Out Registration Form

Privacy is very important to us. No information sent to Intensive Therapeutics will in any way be distributed or shared without your acknowledgement and consent.

Instructions to complete registration forms:

  1. Complete the Contact/Medical Information form below and click the send button.
  2. Print out the following two forms:
    a. Consent to Attend form 
    b. Video Permission form 
  3. Complete and sign these 2 forms and mail them to:
    Intensive Therapeutics, Inc.
    274 South Avenue
    Fanwood, NJ 07023
  4. OR, bring both forms, completed and signed, on the first day of the program.

Registration Information

First
Last
First
Last

Medical Information

History

Family Goals

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