Sibshops Registration
Please use this form to register for the upcoming Sibshop in Escambia, Okaloosa and Santa Rosa counties.  Sibshop participants should wear comfortable clothing and tennis shoes.  
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I am enrolling my child (Age 7-12) for the Sibshop for brothers and sisters of children with special developmental and/or special health needs for Saturday, December 11, 2021 from 9:00 am-11:00 AM at The Arc Gateway's Pearl Nelson Center located at 918 E Fairfield Drive in Pensacola. *
Required
Has your child ever attended a Sibshop before? *
If yes, where
Child's Name *
Date of Birth *
Age *
Gender *
School *
Grade *
Parents Name(s) *
Address *
City *
State *
Zip *
Home/Cell Phone *
Alternate Phone
Email address *
Name of brother or sister with special needs *
Date of birth
Age
Gender *
School
Name or description of disability or health concern
What kind of related special education services (e.g. speech, occupational or physical therapy, counseling, etc.) does this child receive?
What other information would you like us to know about the sibling(s) with special needs?
Other siblings: name, age, gender
What do you hope your child will gain from our Sibshop? Are there any other topics you would like to see addressed?
Does your enrolled child have any special needs, food allergies or other health restrictions we should know about? *
Please provide any other information you feel would make Sibshops a more enjoyable and educational experience for your child?
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