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Welcome to Radiant Sight!
Blindfold Vision Application
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Email
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Your email
How did you find Radiant Sight? (referral, google etc.)
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Your answer
Parent Name
*
Your answer
Address
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Your answer
Phone number
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Your answer
Child's Name
(include all children you wish to enroll)
*
Your answer
Child's Age
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Your answer
Can your child identify
colors, numbers and letters?
(reading is not required)
*
Your answer
Does your child have the capacity to participate interactively for 30 minutes?
*
Your answer
I appreciate you for applying. Why are you interested in blindfold vision activation for your child?
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Your answer
Have you talked with your child about blindfold vision yet? If you have, what has your child said about their interest in blindfold vision?
*
Your answer
If you don't mind sharing, please describe the key qualities of your family culture. (e.g. homeschooling, focus on team sports, spiritual, strict-discipline, non-violent parenting, religious community, Waldorf etc.)
Your answer
Why do you consider Raphael to be the ideal facilitator for your child?
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Is there anything you wish to share or that you feel I should know?
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Do you have any specific questions or comments?
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Send me a copy of my responses.
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