Hearing Impairment, Visual Impairment and Physical Disability Session
This form is for booking on to the Parent Carer Hub. All information is treated confidentially and will only be used for the purposes of booking on to the event. The information you will provide will only be kept for as long as necessary and will only be passed on to the professional the 1:1 session will take place with (this is to enable them to gather any information ahead of time and make the best use of the limited time for your session) We cannot process a booking unless this form is completed in full.

Booking Essential as spaces are limited to 6 for the whole session.

The Specialist Teaching Service aims to ensure the inclusion and achievement of children and young people with hearing and/or vision impairments and physical disabilities and the building of expertise and capacity within educational settings / schools in Peterborough, in line with current local and national strategies.

Date: Monday 13th May 2019
Time: 1pm to 4pm
Venue: The Goldhay Centre, 105 Paynels, Peterborough, PE2 5QP
Price: FREE
Details: Book a 1:1 session with a member of the Sensory and Physical Support Service (each session is for 30 minutes)

Email address *
Name (First and Last) *
Your answer
Address (including post code) *
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Phone Number *
Your answer
Preferred Time Slot *
We will accommodate your preferred time slot where can
Child/ Young Name *
Your answer
Child/ Young Person Age *
Your answer
Child/ young person area of need
Your answer
Child/ Young Person Educational Details (setting attended if applicable, whether on full time/ part time timetable, whether home educated etc) *
Your answer
Please provide a brief description of area of concern to be discussed *
Your answer
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