Welcome to S2C @ GKTC  Intake
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Email *
Speller's LAST Name *
Speller's FIRST name *
Speller's middle name *
Gender of Speller *
Speller's Date of Birth *
Street Address *
City *
State *
Zip Code/ Country Code *
Country *
Parents/Guardian's Name *
Phone Number *
What type of appointment are you looking to set up? *
To better prepare for our time with you, please take a minute to tell us a bit about your speller.  Likes, dislikes, communication style, services they have received and general results, any behaviors that would be helpful for us to be aware of ahead of time and anything more you think may be beneficial for us to know.
Also, do you have any experience using the letter boards to communicate?  If so, please describe briefly.
A copy of your responses will be emailed to the address you provided.
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