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Parent / Guardian's First Name
Parent / Guardian's Last Name
Phone Number
Email
Address
Your Child's First Name
Your Child's Last Name
Your Child's Date of Birth
Select a class to register your child in
Select a class
What is your child's diagnosis?
Tell us about your child and their personality so we can match them with a good volunteer.
Tell us about what your child likes, and what their favourite things are.
If applicable, tell us what your child dislikes or if they have any triggers.
Please describe your child's preferred form of communication
What goals do you have for your child within this program?
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