Registration

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Registration

Apply for Admission

Personalized Learning Plans
Expert-Led Assessments

Seamless Enrollment Process
Ongoing Parental Support

Child's Information:

Name *

Date of birth *

Gender *MaleFemaleOther

Diagnosis (if applicable)

Primary Concern/Reason for EnrollmentAutism Spectrum Disorder (ASD)Attention Deficit Hyperactivity Disorder (ADHD)Speech DelayDevelopmental DelayLearning DisabilityBehavioral ChallengesOther

Primary Concern/Reason for Enrollment (Other)

Parent/Guardian Information

Parent/Guardian Name *

Relation to child *

Phone Number *

WhatsApp Number *

Parent's Email *

Home Address *

Educational & Therapy History:

Has your child attended any therapy or special education program before?YesNo

Please provide details (School/Therapy Center & Duration) *

Current School (if any):

Medical & Behavioral Information:

Any medical conditions or allergies? *YesNo

Allergies

Does your child take any medication?YesNo

Please provide medication details

Any behavioral concerns (aggression, self-harm, sensory issues, etc.)

Program Preference:

Which program are you interested in?Early Intervention (2-5 years)Special Education (6+ years)Speech TherapyOccupational TherapyBehavioral TherapySocial Skills TrainingParent Training & Support