Art Connect @ Joo Chiat
You will be notified as soon as a class is arranged for your child.
All new students will also be required to attend a free, one-hour meet and greet with Lama before class begins.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Gender *
Age *
Your answer
Postal Code *
Your answer
Residential Address *
Your answer
Which school does your child attend? *
Your answer
Current Diagnosis *
Your answer
Level of Support required for child *
Lowest level of Support
Highest Level of Support
Programme(s) of Interest (3pax $800 for 10-session, 4pax $600 for 10-session) 50% off for all members from now till 17Nov *
Required
Would you describe your child as more verbal or non-verbal? *
How would you describe your child's movements/motor skills? *
Anything you could tell us a bit more about your child to help us better assign your child to an appropriate group?
Your answer
First name of Parent/Caregiver *
Your answer
Last name of Parent/Caregiver *
Your answer
Relationship of Parent/Caregiver *
Your answer
Email of Parent/Caregiver *
Your answer
Telephone (Home/Office) of Parent/Caregiver
Your answer
Telephone (Mobile) of Parent/Caregiver *
Your answer
What would you hope your son/daughter would achieve after joining this group? *
Your answer
What does your child enjoy doing? and are there any skills that you would like them to learn? *
Your answer
*
Captionless Image
Required
*
Captionless Image
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service