Dinosaur Speech Therapy 2024 June Holiday Programme Registration
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Email *
Parent/Caregiver Name *
Contact number *
Child full name *
Child DOB *
MM
/
DD
/
YYYY
Is your child a current/past client of Dinosaur Speech Therapy? *
Is your child able to follow verbal instructions? *
What are some of your concerns for your child currently? *
What are some of your child's interests? (e.g. Paw Patrol, playing with cars etc.)
Does your child have any diagnosis of any conditions? If yes, what are they? (This is for us to understand your child's difficulties better, and is not a criteria for enrolment)
I am registering for *
Payment and Registration Confirmation
We will get in touch with you upon receiving your registration information. Registration is only confirmed upon receipt of payment. You may also get in touch with us via WhatsApp/Call @ 80288535 or email rawr@dinosaurspeechtherapy.sg for more information.
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