A Chance To Grow

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  • Home
  • About
    • Mission
    • History
    • Board of Directors
    • Honorary Spaces
    • Annual Report
    • Contact
  • Programs + Services
    • Clinical Services >
      • Occupational Therapy
      • Speech Therapy
      • Audiology Services >
        • Auditory Processing
        • Workshops
        • Auditory Interventions >
          • JIAS
          • CAPDOTS
          • Acoustic Pioneer
      • Vision Services >
        • OptomEYES Vision Therapy
      • Client Forms >
        • Health History Form
        • Insurance and Service Authorization
        • Medical ROI
        • Education ROI
        • Rights & Responsibilites
        • Cancellation Policy
        • Notice of Privacy Practices Form
        • Photo Release
      • Insurance Payers
      • Teletherapy Services
    • Neuro Integrative Clinic >
      • Treatment Models
    • Neurofeedback >
      • Neurofeedback Rentals
      • Audio-Visual Entrainment
    • Home-Based / PCA's >
      • Get Started
      • Waiver Services
      • Intake Form
    • S.M.A.R.T. / MLRC >
      • S.M.A.R.T. Program >
        • How S.M.A.R.T. Works
        • S.M.A.R.T. at My School
        • S.M.A.R.T. Mentoring
        • Research & Resources
      • Workshops >
        • S.M.A.R.T. Elementary
        • S.M.A.R.T. Pre-K
        • Bridging The Gap
        • Auditory Processing Workshops
        • Hosting a Workshop
        • Graduate Credits
        • Registration Policy
      • S.M.A.R.T. Supplies >
        • Downloads
    • School-Based Services >
      • Third-Party Billing
    • Turnquist Childcare >
      • Curriculum + Assessment
      • Teen Parent Program
    • Summer Programs >
      • Boost-Up Plus
      • Social Motor Works
      • Advanced-Brain Intensives
      • Inquiry Form
  • Events
    • Workshops
    • Partners + Sponsors
  • Store
    • Shipping & Returns
  • Parents
    • Helpful Resources
    • Testimonials
    • Share Your Story
  • News + Media
    • Growing Times
    • S.M.A.R.T. Newsletter
    • Success Stories
    • Photo Release
  • Donate
    • Tribute to Bob DeBoer

Photo/Observation release


​Please fill out the form below authorizing consent to be photographed. If you prefer to fill out your photo release on a physical form, we invite you to download the Photo/Observation Release Form, complete and fax it to us at (612) 706-5555. Please print completed documents for your personal records.

For questions, please contact us at (612) 789-1236 or email us at actg@actg.org.
Our mission is to promote the maximum development of the whole child and adult through ​innovative, individualized and comprehensive brain-centered programs and services.
Location
1800 NE 2nd Street, Minneapolis, MN 55418
(612) 789-1236 / actg@actg.org
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A Chance To Grow is a 501(c)(3) non-profit organization. Gifts are tax-deductible. ACTG does not discriminate on the basis of race, sex, religion, age, disability, sexual orientation, or marital status.
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