Sibshop (ages 13-17)

When: Thursday, May 16, 2024 | 3:30 - 5:00 PM

Where: Children's Clinics, Square & Compass Building | 2600 N. Wyatt Drive

Brothers and sisters, ages 13 to 17, with siblings that have complex medical needs, have feelings that may be hard to express, even to a friend. Sibshop is that safe space that allows them to explore and express their feelings and meet others with shared experiences who truly understand. Sibshop celebrates the many contributions made by brothers and sisters to the family and engages them through fun and interactive games.

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Sibshop Is Just For Siblings To:

Laugh
Have fun
Play games
Talk about the good and not-so-good parts of having a sibling with special needs
Spend time with other siblings that “get it”
A chance to be heard and seen

This group meets every third Thursday of the month for a three-week session (5/16/2024, 6/20/2024, 7/18/2024). If you’re new to the group, please register for the event.

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Sibshop Registration

"*" indicates required fields

Participant Name*

First Last

Participant's Date of Birth*

Participant's Age*

Participant's Preferred Language*

English

Spanish

How many siblings does the Participant have with a disability?*

What is the name of the sibling with a disability?*

What is the age of the sibling(s) with a disability?*

If applicable, what are the names and ages of the Participant's siblings that DO NOT have a disability?

Parent/Guardian Name*

First Last

Relationship to Participant*

Primary Phone Number*

Parent/ Guardian Preferred Email*

How do you prefer to be contacted?*

Phone call

Text

Address*

Street Address Address Line 2 City ZIP / Postal Code

Emergency Contact First and Last Name*

Please identify an individual other than yourself that we can contact in case of an emergency.

Emergency Phone*

Please identify any behaviors or special needs of the participant and provide our staff members with ways you feel they can best help the participant enjoy their experience with us.*

Is there anything else our staff members need to know about the participant?*

Please check that you have read and agree to the following:*

I have read and give consent to the photographing/video recoring of the above-named participants

I have read and do NOT give consent.

I consent to the photographing/video recording/ audio recording of the above-named patients by Children's Clinics staff at this event. I agree the resulting images or recordings may be used for Children's Clinics publicity or marketing purposes (brochure, pamphlet, lobby display, social media posts, printed material, etc.). I understand that I have the right to reverse this consent, in writing, at any time before the image or recording is used for the purposes indicated above.

Agreement: I agree to stay at Children's Clinics throughout the duration of the group for my child.*

Yes

Sibshop (ages 13-17)

Sibshop Is Just For Siblings To:

Sibshop Registration

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