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
Phone
Your answer
Address
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Child's Name
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Grade
School your child attends
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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, Age, Grade, or indicate N/A
Your answer
Events you Plan to Attend
(check all that apply)
Required
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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