7th Inning Stretch Family Information
Help us get to know your child and his/her siblings.
Email address *
Primary Contact First Name *
Your answer
Primary Contact Last Name *
Your answer
Does your family attend a church regulary? If so, what church?
Your answer
Phone *
Your answer
Address *
Your answer
Child's Name *
Your answer
Child's Date of Birth *
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/
DD
/
YYYY
How did you hear about 7th Inning Stretch? *
Your answer
Child's Grade *
School your child attends *
Your answer
Child's Primary Diagnosis *
Your answer
Are there any other disabilities, illnesses, allergies or special concerns for your child? *
Please include any special dietary needs.
Your answer
Siblings Also Attending Events *
Please include their Name, Birthday, Grade, or indicate N/A
Your answer
Child's Strenghts *
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Child's Weaknesses *
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Does your child understand verbal communication? *
If NO, please describe the method of communication that works best.
Your answer
How does your child express his/her needs: *
Check all that apply and describe below
Required
Describe expressions of needs
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