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. 


Special Requirements Form

Address*

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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