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Enrolment form
Parent/Guardian details
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Child's details
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Current diagnosis/diagnoses
Your child's strengths
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What would you like for us to work on?
Which service do you need to access?
Untitled multiple choice field
A
Numeracy Intervention
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B
Maths Tutoring
C
Homeschool Support
Preferred session days
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Preferred session days
Monday
Tuesday
Wednesday
Thursday
Preferred session times
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Preferred session times
1pm
2pm
3pm
4pm
5pm
6pm
Specific availability with days and times
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Submit
