• FEEDING GROUPS AT THE BOSTON ABILITY CENTER (FALL 2026)

    If registering more than one child or registering for more than one group, please complete two separate forms.

  • Please select ticket quantity below. You will then be asked to sign a few registration forms prior to submitting payment.*

    prevnext( X )



        Total $0.00$0.00

      • PLEASE NOTE: A brief (~10 minute) remote screening will be required for group consideration to ensure that this group is an apporopriate fit. Payment will be refunded if this group is determined to not be an appropriate fit for the participant's needs. A group leader will be in touch via email to schedule the screening. 

      • General Information

      • This group participant...*
      • Child's Date of Birth*
         - -
      •  -

      • Additional Participant Information

        (For participants who are not current BAC patients)
      • Is your child currently taking any medications?*
      • Does your child have any allergies? (food, medication, environmental, etc.)*
      • Does your child have an epi-pen? (If so, please be sure to bring your child's epi pen to each group session)*
      • *
      • Does your child have a history of seizures?*
      • Does your child have a Diastat prescription or other rescue medication prescription for seizure management?*
      • *
      • Browse Files
        Cancelof
      • Does your child benefit from assistance with toileting?*

      • Social Emotional Development

      • Do you have concerns with your child’s social-emotional development? Please check all that apply:*

      • How often do self-regulation challenges occur?*
      • What do self-regulation challenges look like for your child? Please check all that apply:*

      • Are there any specific triggers for self-regulation challenges? If so, please explain:

      • FEEDING OBSERVATIONS

      • GI: (please check all that apply)*
      • Respiratory: (please check all that apply)*
      • Behaviors observed during feeding: (please check all that apply)*
      • Please check the methods of consumption your child has used/currently using:*
      • Please check the methods of consumption your child has used/currently using:*
      • Check All That Apply*

      • BREAKFAST

      • LUNCH

      • DINNER

      • SNACKS

      • Photo and Video Consent Form

        Optional

      • I hereby grant The Boston Ability Center permission to use my child’s likeness in a photograph or video in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of The Boston Ability Center and will not be returned. I hereby irrevocably authorize The Boston Ability Center to edit, alter, copy, exhibit, publish or distribute photos or videos for purposes of publicizing The Boston Ability Center’s programs or for any other lawful purposes. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein the likeness of my child appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of photographs or videos. I hereby hold harmless and release and forever discharge The Boston Ability Center from all claims, demands, and causes of action which I, my heirs, representatives, administrators, or any other persons acting on my child’s behalf may take. 

      • Date*
         - -
        2 digit month, 2 digit day, 4 digit year

      • Payment

        Please enter credit card information below:

      • IMPORTANT NOTE!

        All feeding group ticket sales are non-refundable and non-transferable, unless a group leader determines via screening that this group is not an appropriate fit for the participant.

      • Payment Methods

        Choose from one of the PayPal options to make your payment.

      • Should be Empty: