Maisie - Family Considerations

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We are excited to be beginning working with a wellbeing dog around your children this term. Prior to commencing, we ask you to provide any information that may be relevant to your child and our program. We are aware of the range of considerations that we need to make so that our work is inclusive and successful. Below is a list of common considerations we like to be aware of.

Email *

Please tick any boxes below to indicate considerations for program facilitators to be aware of. If extra information needs to be supplied, please use the space provided below.

My child has an allergy to some dogs

My child's traditional culture does not allow interaction with dogs

My child's religion does not allow interaction with dogs

My child has some degree of fear of dogs

My child has been through trauma related to an incident with an animal

My child has not yet experienced interaction with a dog

Other:

Is there anything else we need to be aware of?

Parents Name *

Name of Student *

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