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