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Knots Arts Play in a Week sign up form 2022
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Child's name
Your answer
Parent/carer name
Your answer
Child Date of Birth
MM
/
DD
/
YYYY
Address
Your answer
Parent/Carer contact number
Your answer
Email address
Your answer
Social communication needs (e.g. autism, ADHD)
Your answer
Allergies - please tell us if your child has any allergies we need to be aware of
Your answer
Does your child have a medical condition that we should be aware of? Eg. Asthma,Diabetes, Epilepsy
Your answer
Can we take photos of videos of your child in sessions? Yes/No
Yes
No
Other:
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Support needs - is there anything we need to know to properly support your child during the project? e.g. a calm space needed for break times, wheelchair access to spaces or any general calming or copying strategies you would like us to use.
Your answer
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