Adult Social Language REGISTRATION Form Please fill out and submit the Form below to Register for the Adult Social Language Connection. Full Name Email Address Home Phone Mobile Phone Date of Birth Filler Status: Status: I'm a returning client I'm a new client Group Selection: Group Selection: Group 1 . . . May 13,27, June 10,24, July 8,22,29 Group 2 . . . May 6,20, June 3,17, July 8,15,29 A 30 minute intake review is required for all new clients. The cost of the intake is $75. To schedule a review, please email hello@thesln.com or call 306 933 3222. Filler2 12 + 5 = Submit