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This form helps us get to know your child and prepare a personalised first session based on their interests, development and individual needs.

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Please share as much information as you feel comfortable with. Only questions marked with an * are required — everything else is optional.

Parent / Guardian Information
Childs Information
Session Preferences
What type of play would you like included? (Select all that apply)
Development & Learning Focus
Is there anything specific you would like the session to focus on? Examples:
Sensory & Wellbeing Information
Understanding Your Child
Additional Notes

Every Child Unplugged session is thoughtfully tailored to your child’s interests, development, and stage of play. Thank you for taking the time to complete this form. This helps me create the most meaningful experience possible.

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