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First Name*

Last Name*

Email*

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What are your child’s areas of strength?

What types of things work best for your child in terms of rewards and motivation?

How does your child best communicate with others?

Spoken language

Written language

Sign language

Communication device

Does your child have any balance, coordination, or physical challenges that impede his or her ability to participate in gym class? If so, please describe:

What types of accommodations can the coach make to help your child with change and sensory needs?

In your experience, what are the best ways to allow your child to self-regulate and get your child back on task?

What behaviours related to their condition am I most likely to see during class, and what are the triggers for these behaviours?

Is there anything else you think coaches should know about your child to assist them?