Admission Inquiry Form Admission Inquiry Form Kindly fill in the details below to help us understand your child’s learning needs. Our team will contact you shortly to guide you on assessment and placement. SECTION 1: Parent/Guardian Details Full Name *Phone Number (WhatsApp)Email Address *Location🔸 SECTION 2: Child Details🔸 SECTION 2: Child DetailsFirst NameMiddle NameLast NameAgeDate of BirthGenderMaleFemale🔸 SECTION 3: Educational Background🔸 SECTION 3: Educational BackgroundHas your child attended school before?YesNoCurrent/Previous SchoolCurrent Grade/Class🔸 SECTION 4: Learning Needs🔸 SECTION 4: Learning NeedsSelect all that apply:Autism SpectrumSpeech & Language DelayADHDLearning Difficulties (e.g. dyslexia)Intellectual DisabilityBehavioral ChallengesDevelopmental DelayOther:If Others, Please name it🔸 SECTION 5: Development & Support Question Options🔸 SECTION 5: Development & Support Question OptionsHas your child received therapy before?YesNoIf yes, select typeSpeechOTABAOtherIs your child verbal?YesLimitedNoCan your child follow instructions?YesSometimesNoIs your child toilet trained?YesNoPartially🔸 SECTION 6: Program Preference Questions🔸 SECTION 6: Program Preference QuestionsPreferred optionDay SchoolBoarding SchoolNot surePreferred start dateImmediatelyNext TermNext Year🔸 SECTION 7: Parent Goals🔸 SECTION 7: Parent GoalsWhat are your main goals for your child?0 / 180🔸 SECTION 8: Medical Information (Optional)🔸 SECTION 8: Medical Information (Optional)Any diagnosed condition?Any medications?Submit for Admission Guidance