Admission Inquiry Form Admission Inquiry Form Kindly fill in the details below to help us understand your child’s needs. Our team will contact you shortly to guide you on assessment and placement. SECTION 1: Parent/Guardian Details Full Names *Phone Number (WhatsApp) *Email Address *Location (County/Town):🔸 SECTION 2: Child DetailsChild’s Full Name *Age *Date of BirthGenderMaleFemale🔸 SECTION 2: Child DetailsHas your child attended school before?YesNoCurrent/Previous School:Current Grade/Class :🔸 SECTION 4: Learning Needs (Checkbox Grid)Select all that apply:Autism SpectrumSpeech & Language DelayADHDLearning Difficulties (e.g. dyslexia)Behavioral ChallengesDevelopmental DelayOthers:If Others, Please Specify:🔸 SECTION 5: Development & Support Question OptionsHas your child received therapy before?YesNoIf yes, select typeSpeechOTABAOthersIs your child verbal?YesLimitedNoCan your child follow instructions?YesSometimesNoIs your child toilet trained?YesNoPartially🔸 SECTION 6: Program PreferencePreferred option:Day SchoolBoarding SchoolNot surePreferred start date of JoiningImmediatelyNext TermNext Year🔸 SECTION 7: Parent GoalsWhat are your main goals for your child?🔸 SECTION 8: Medical Information (Optional)Diagnosed conditionAny medicationsUpload file, If anyChoose FileNo file chosenDelete uploaded fileSubmit