Funky Kids Form | Autism Friendly Blar

Registration form for Funky Kids Music & Movement Session

Wednesday August 5th, 10am - 1pm

Venue - Scoil Chroi Iosa Blarney

Age 3 - 12 years

Parent/Guardian Information:

We welcome parents/guardian's to stay with their child for the activity session, although this is not necessary if the child does not need one to one support.

Parent/Guardian Name

Phone

Emergency Contact Name

E.C. Phone

Child Information

Child Name

Child Age

Sensory & Support Information

A visual guide with sensory information about the event will be sent to all participants via email ahead of the event. A quiet space will be available on the day

Please share any sensory sensitivies or preferences that will help us to provide a comfortable and supportive environment

Please share any additional information you think may be important for us to know

I consent to my information being stored temporarity for communication purposes relating solely to this workshop

I understand this workshop is designed exclusively for autistic children aged between 3 - 12 years

I understand that registering does not guarantee a place as numbers are limited. You will be contacted with a payment link and confirmation of your place.