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Art Therapy sessions
Parent name
 
Address
 
Suburb
 
Email
 
Phone Number
 
Child 1 name
 
Child 1 date of birth
 
Child 1 age
 
I am interested in enrolling child 1 into individual Art Therapy sessions - times negotiated between 9am and 6pm
Wednesday 
Friday 
Saturday 
Length of session
 
Frequency
 
Child 1 Funding
 
Does Child 1's NDIS plan document individual or group sessions?
 
Child 2 name
 
Child 2 date of birth
 
Child 2 age
 
I am interested in enrolling child 2 into individual Art Therapy sessions - times negotiated between 9am and 6pm
Wednesday 
Friday 
Saturday 
Child 2 length of session
 
Child 2 Frequency
 
Child 2 funding
 
Does Child 2's NDIS plan document individual or group sessions?
 
What would you hope for your child/ren to get out of participating in Art Therapy sessions?
Any additional information you would like us to know
I am interested in group art therapy sessions when they become available
 
Thank you for your time. For your booking to proceed, we will need to schedule a one hour initial consultation, where you will complete paperwork with our administration staff and discuss your child's specific needs with our art therapist. Please provide us with your preferred time and day to contact you.
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