School Readiness Groups Enquiry
Client/Child Full Name
Please provide your full name
Age of Child
This field is required
Email
You must provide an email address
Phone
This field is required
Does your child have a medical diagnosis? (e.g. ASD, ADHD, etc)
This field is required
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
This field is required
I am not a robot is required
Submit
Keep me in the loop