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Kids Connect Group Registration Form

Kids Connect Group Registration

The reasons for completing this screening questionnaire prior to participating in a group are to:
– Match children with similar skills and interests to optimise the learning opportunities in the group.
– Allow the therapists to individually design the group to meet the needs and goals of the group of children participating.
– Please note that completing this registration form does not guarantee a place in the group.

Child’s Name
Child's Name
First
Last
Parent/ Caregiver Name
Parent/ Caregiver Name
First
Last
NDIS Funded
Have you talked to your child about their diagnosis?
Does your child have any allergies (including food allergies)?
How does your child communicate?
Can your child:
Does your child use any aides to help them understand and/or express themselves?
Does your child have any sensory challenges?
Will your child be able to attend all of the group sessions?
Where did you hear about this group at Kids Are Kids!

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As a charitable organisation, Kids Are Kids! is dedicated to providing services that are accessible and affordable to all WA children.

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