The individual named below is currently attending the S Groups Social Solutions program to enhance appropriate peer social behavior. A crucial aspect of this program includes communication between peers outside of the Social Solutions setting.

By signing this form, you provide permission for your phone number to be shared with other group members, allowing them to contact one another during the week as guided by the group leader.

You acknowledge and understand that group members are participating in a learning environment and agree that phone communication will remain appropriate and respectful.

You further agree, on behalf of yourself, to hold harmless the corporation of S Groups and its employees from any injury or damage that arises or is alleged to arise from the disclosure of your telephone number.