The individual named below is currently participating in the S Groups Social Solutions program to develop appropriate peer social behaviors. An essential component of this program involves encouraging communication among peers outside of the structured group sessions.

By signing this form, you, as the caregiver, consent to your adolescent’s or dependent adult’s phone number being shared with other participants. This sharing of contact information enables participants to communicate with each other during the week, as recommended by the group facilitator.

You acknowledge and understand that all participants are part of an educational environment aimed at improving social skills. You agree that any phone-based interactions will remain appropriate, respectful, and aligned with the program’s objectives.

Furthermore, by signing below, you agree to hold harmless S Groups and its employees from any injury or damage arising, or alleged to arise, from the disclosure and use of the provided telephone number.