Mother's Details Work Address * Father's Details Your Residential Address * Does your child require any ongoing medication? —Please choose an option—YesNo Immunizations up to date —Please choose an option—YesNo Health Care Number: Allergies: Does your child have any medical or emotional condition requiring treatment or supervision? —Please choose an option—YesNo Emergency Contact Does your child have an official diagnosis? —Please choose an option—YesNo Does your child have FSCD funding? —Please choose an option—YesNo Communication: Does your child follow two step and three step directions? —Please choose an option—YesNo Does your child use single word phrases or full sentence —Please choose an option—YesNo Mention your child's likes, dislikes, and responsive behaviour to transitions in 3-4 sentences. Literacy: Does your child recognize uppercase and lowercase letters? —Please choose an option—YesNo Does your child recognize the numbers (1-10)? —Please choose an option—YesNo Fine Motor: Can your child put together a five-to-seven-piece puzzle? —Please choose an option—YesNo Can your child hold scissors and cut paper using them? —Please choose an option—YesNo Social Interaction Does your child share, take turns, and wait when asked? —Please choose an option—share,take turns,wait when asked I Confirmation Policy: It is important to note that we need to have at least 72 hours of notice for confirmation of classes as the lesson plans are created and based on the child’s needs and aptitude. I Cancellation Policy: It is important to note that we need to have at least 24 hours of notice for cancellation of the classes otherwise you have to pay for the booked session.
