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Stronger Together Registration - Saturday May 11

Parent/Carer Name

Parent/Carer Email

Parent Carer Phone

Child/Teen Name + pronoun

Child/Teen Age

Child Dx or Condition

Primary Language

Interests

Interests

Other interests?

Communication style

Communication style

Other communication style or other details?

Triggers?

Allergies

Seizures or other medical conditions?

Currently participating in any recreational activities?

Currently enrolled in special education?

Currently enrolled in special education?

If yes, which school/cluster?

Other notes

Tips for how to best work with your child/teen?

Interest in additional resources/support for parents/carers?