Booking A Consultation At Kwanda Kinetics

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Thank you for completing this short form. The information in this form will help us to contact you with more information regarding our consultations as well as possible dates that we currently have available to consult with you at our practice. We are looking forward to hearing from you!

Name & Surname *

Profession *

Parent

Teacher

Principal/Owner Of School

Other

If You Have Chose The Option "Other", Please Describe Your Profession. *

Cellphone Number *

Email Address *

Do You Have A Child Currently Attending One Of Our Programs Or Are You A Private Client? *

Yes, Currently Attending One Of Your Programs At His/Her School

No, I Am A Private Client

On Which Topics Do You Require Consultation? *

Indoor Playing Area

Outdoor Playing Area

Classroom Layout

Creating Your Own Sensory Stations For Your Child/ren

Preschool Reports

Curriculum Advice

Toys And Equipment

Research And Future Studies

Product Development

Support And Advice

Other:

Area Where You are Currently Residing *

Are You Interested In Online Consultations? *

Yes

Do You Have A Whatsapp Account ? *

Yes

If So, Do We Have Your Consent To Communicate With You Via Whatsapp To Inform You When An Email Has Been Sent Regarding Our Consultations ? *

Yes

Do You Prefer Communicating In Person Or Via Emails, Whatsapp Or Zoom? *

In Person At Your Practice

Emails

Zoom

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