Join Our Waitlist

Our program welcomes a limited number of participants at a time to ensure everyone receives personalized, high-quality support. Join our waitlist to be the first notified when enrollment opens and to secure your place in a future group.

We currently accept clients 18 and older. Parents of teens 15+ are encouraged to submit the waitlist form, while families with younger children may keep us in mind for future eligibility.

Participant Information

Full Name of Participant

Date of Birth

Current Age

Gender

Male Female Other

Guardian Contact

Parent/Guardian Name

Email Address

Phone Number

Mailing Address

Current Communication Abilities

Current Communication Method

Has the participant ever tried a letterboard?

Motor & Regulation Information

Does the participant require movement breaks to regulate?

Known Sensory or Motor Challenges

Other Info

Is the participant able to use the bathroom independently?

What are your goals for joining Open Doors?

Additional Notes

I confirm that the information provided is accurate.