Playgroup - Register Your Interest
Client/Child 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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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
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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