April 2023 Paper, Scissors, Glue Registration

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Please complete a registration form for each child.

Program Information

Name of Participant *

Parent/Carer Name *

Parent/Carer Phone Number *

Which session are you registering for? *

Grade 4-6 Wednesday April 19 1pm-3pm

Prep-Grade 3 Thursday April 20 1pm-3pm

Funding type *

Private/Self Managed NDIS

NDIS Plan Managed

Other:

Is the participant a client of DWSP? *

Yes

Does your child have any allergies or medical alerts we should be aware of? If so, please advise below.

We want all of our participants to have a safe and fun experience. Is there anything we should know to help support your child's participation? eg. diagnosis, interests, sensory preferences, communication style
*

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