Darby's Dancers Intake Form 
Welcome to the thrilling world of Darby's Dancers!!  We are bursting with excitment to introduce your child to the magic of dance.  Take a moment to complete this intake form and let's embark on an unforgettable dance journey together! 
Email *
What is your Child's name and Date of Birth?
Does your child have a preferred nick name?
 *
Does your child have any specific sensory sensitivities?
Does your child have any behavioral or emotional challenges?
Does your child have a behavior management plan at home or school?
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Does your child have any specific triggers?
How does your child show that they are feeling frustrated, upset, anxious, or overwhelmed?  What are the signs or behaviors?
What have you found to be most effective to help your child manage those situations in which they become frustrated, upset, anxious, hyperactive, or overwhelmed?
What is the best way to redirect your child, if necessary?
What is the best way to help your child transition from one activity to the next?
Please describe your childs strengths
How does your child tend to do socially?  Does your child prefer to participate and be with other children, to be more of an observer, or to engage in more solitary activities?
Does your child have any history of the behaviors listed below? *
Required
If you checked any of the above behaviors, please explain the circumstances and frequency of these behaviors. 
What are your child's hobbies and areas of interest? What other activities does your child participate in outside of school?
Is there anything that we have not yet covered that you think would be important for us to know?  Any objectives you have for your child(ren) during their participation in the Darby's Dance Program?
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