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Last Chance to sign up for the

Siblings Workshop at

West Bergen Center for Children & Youth!!

Ages 12 - 14 years old

October 20, 2009 - November 24, 2009

Facilitator: Ostrowski, M.A.,

Ed.S.

When: Tuesdays 7:00-8:00p.m.

6 weeks

October 20, 2009-November 24, 2009

Who Should Come?: For siblings of children with Asperger's

Disorder, HFA, PDD, NOS and Nonverbal Learning Disabilities. This workshop

will cover a range of topics, such as tolerance, coping strategies, focusing

on your sibling's strengths, disclosure, fairness, creating quality time,

and finding common ground.

Age Group: 12-14 year olds

Fee: $250.00

To register please contact Doyle at 201-934-1160 x 7231 and return the

attached registration form by 10/15/2009. Workshop sessions will be held at

One Cherry Lane, Ramsey, NJ.

The Asperger's Related Services Department

SIBLINGS WORKSHOP Registration Form

Childs name:____________________________________ Age of Child:

__________________

Address:

_____________________________________________________________________

Phone Number: _______________________________home

_______________________________cell

_______________________________work

Current Grade and School of your child:

_____________________________________________________________________________

Name of sibling in services at West Bergen/CCY (if

applicable)__________________________

Current Social Skill Group Sibling is Attending (if applicable)

___________________________

Does your child with special needs know and understand his/her

diagnosis/classification? _____

Does the sibling attending workshop understand their brother/sister's

diagnosis/classification? ____

Describe the relationship between the child with special needs and his/her

sibling ____________

______________________________________________________________________________

Are there other siblings who are not attending this workshop?

___________________________

Are you looking for a specific age range to be covered? _________ If so,

what age? _________

Are there allergies/food restrictions for your child attending the sibling

workshop? ___________

What are the strengths of your child who is attending the workshop?

______________________

_____________________________________________________________________________

Please identify your child with special needs'

strengths?________________________________

_____________________________________________________________________________

Registration must be received by 10/15/2009.

Please return all forms to: Doyle

WB Center for Children and Youth

One Cherry Lane, Ramsey, NJ 07446

For further information please call: (201) 934-1160 or x7231.

Payment of $250.00 is due at the time of registration.

Checks payable to: West Bergen Center for Children and Youth

The information in this e-mail and any attachments may contain protected

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rules

(42CFR Part 2) and I.C. §16-39-2-5. It is intended only for the use of the

individual(s) or entity name above. The federal rules prohibit you from

making any further disclosure of this information unless otherwise permitted

by law. If you are not the intended recipient, you are hereby notified that

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prohibited. If you have received this information in error, please contact

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