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Parent Full Name *
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Childs Full Name  *
Childs Date of Birth  *
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Childs School  *
Childs diagnosis or suspected conditions *
Please provide us with any information that is important for us to understand your child's needs most. 
eg: Sensitive to noise, likes to run around, will communicate using communication boards, likes to have space, requires social support. Anything that can help us understand your child more. 
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