School Holiday Program Enquiry
Clients Full Name
Please provide your full name
Email
You must provide an email address
Phone
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Age of Child
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Kinder/school year level
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Does your child have a medical diagnosis? (e.g. ASD, ADHD, etc)
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Is your child a current ETH client
Yes
No
Programs you are interested in attending (Select all that apply)
Music and Movement (Music Therapy)
The Art Hub (Art Therapy)
School Readiness
Minecraft Therapy
Are there any other important things to know about your child? E.g. sensory preferences, behavioural difficulties, triggers.
Other information
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I am not a robot is required
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