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Freshly Baked Pastries

Simple Baking

First Name*

Last Name*

Child's First and Last Name*

Child's Birthday*

Month

Day

Year

Email*

Phone*

How does your child communicate?*

Visuals

AAC

Gestures

Other

Please list any triggers

Please describe de-escalation procedure

How would you like to pay?*

AFU

E-transfer/credit

You will be contacted to set up an interview after the registration is recieved.

© 2017 by Watermelon Sessions Inc.

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