Gameplan PEERS (Young Adults) Register Your Interest

PEERS for Young Adults is a 16-week evidence-based, social and emotional learning (SEL) programs for motivated young adults who are interested in learning new ways of making and keeping friends, developing romantic relationships, and navigating social situations across the life span.

During each group session, young adults are taught important SEL skills and are given the opportunity to practice these skills both in and out of the groups.

Parents/caregivers/social coaches attend separate sessions at the same time and are taught how to assist their young adults in their daily living environments.

Session dates: Tuesdays Term 1 & 2 / 3 & 4 2023

Session duration: 90-minute session for young adults, and social skills training sessions for parents/caregivers/social coaches running concurrently in separate online meetings.

Fees: PEERS Term Program Subscription = $5,650.00 ((includes 2 participants: young adult and parent/caregiver/social coach attending 16 sessions).

Payment: Weekly, monthly, or program-based (5% discount) payment options are be offered.

Funding and rebate options: Medicare, NDIS and private health insurance.

T&Cs: Gameplan’s T&Cs apply.

Please complete and submit the form to register and confirm your interest in participating in Gameplan’s PEERS program in 2023. A Gameplan Team member will then be in contact with you asap.

Regsitration Form

Full name (Young adult)

First Name

Last Name

Mobile (Young adult)

(###)

###

####

Email address (Young adult)

DOB (Young adult)

DD/MM/YYYY

Preferred Pronouns (Young adult)

E.g. she/her, he/him, they/them, other combination

Residential Address (Young adult)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School/Uni/Work/Other (Young adult)

Please enter the name and suburb of the school \ university \ work \ other education you are attending.

Current Year Level (Young adult)

Current Diagnoses/Medical conditions?

Previous assessments:

Please outline any previous assessments the young adult may have received, and the source(s) of these assessments.

Please describe your social and/or communication differences and any challenges experienced:

Full name (parent/social coach/caregiver)

First Name

Last Name

Mobile (parent/social coach/caregiver)

(###)

###

####

Email address (parent/social coach/caregiver)

Who will be the primary contact? (e.g. Young adult, parent/social coach/caregiver, both)

Is the young adult willing participate weekly in the PEERS program?

Yes

No

Unsure

Is the parent/social coach/caregiver willing to participate weekly in the PEERS program?

Yes

No

Do you have NDIS funding?

Yes

No

What are you looking to achieve by participating in the PEERS for Young Adults program?

How did you first learn about Gameplan's PEERS program?

still have questions? e-mail gameplan