I am interested in:The Regional Intensive Therapy program for...* Early Intervention - children aged 0 to 7 years School Age Therapy - children aged 8 to 18 years Parent's InformationFull Name*Parent's NameEmail address*Mobile*Child's InformationChild's Full Name*Child's Date of Birth* Date Format: DD slash MM slash YYYY Year at School (if applicable)Suburb &/or Town*Is your child currently accessing services from the Autism Association of WA?*YesNoIf yes, kindly provide the name of the service and your key contact person:Parent Training OptionsPlease choose up to 4 items. Parent training sessions will be based around the needs noted here.* Let's Eat - Managing Mealtimes Toileting Tips Getting a good nights sleep Sibling interactions Positive Behaviour Support Sensory Processing Preparing for the playground How to use Visual Supports Organising the Home Environment Working Effectively with your Child’s School Safety & Boundary Training Choosing the right App Developing Motor Skills Other Funding InformationThe funding the child is currently accessing and/or the funding you intend to utilise for the program is:NDISDSS (Federal)PrivateWANDISTell us a bit more...Please check all that apply Select All I am interested in registering my child for the 12th-16th of July 2021 Regional Intensive School Holiday Therapy Program. I am interested in more information about TeleTherapy and the Regional Consultation Therapy Program and may attend therapy sessions in Perth in the future. I give consent to the Autism Association First Steps and/ or School Aged Services Therapy Team to access my child’s records via my Autism Advisor.* Yes No This information will help us provide the most appropriate support for your child and family. Additional comments or notes:Newsletter Subscription Keep me up to date with the latest news from the Autism Association of WA
