Please list any allergies and/or medical concerns (Put N/A if your child has no allergies or medical concerns) *
Your answer
Does your child have REGULAR access to the internet? (including computers OR cell phone) *
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Yes
No
My child has access SOMETIMES, but not regularly
Please take a few minutes to tell us about your child. Feel free to list any strengths, accomplishments, habits, needs, anxieties, fears, etc. that you feel would help us to better understand your son or daughter.
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