Special Requirements for Your Child

Does your child require special attention? Including but not limited to:

  • Food allergies
  • Learning disabilities 
  • Circumstances at home

Reach out! We'd love to connect to see how we can serve your children best. 

Child Special Requirements Form



Please list any health issues including allergies your child may have. Enter N/A if non-applicable.

Please list any learning disabilities including dyslexia, ADHD, etc., your child may have. Please enter N/A if non-applicable.

List any interests, strengths, or weaknesses.

Are there any circumstances at home that we should be aware of?

Who should we contact in case of an emergency other than yourself?

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Emergency Contact's Phone Number