Little Pals (birth-5 years)

Join speech-language pathologist Gina and occupational therapist Corrie for a meet up designed for children (and their families) ages birth to 5 who are receiving therapy services or may have a developmental diagnosis.

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* 1. Your Name:

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* 2. Child's name:

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* 3. Child's age:

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* 4. Total number of people expected in attendance (including parents, caregivers, child, and siblings):

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* 6. Phone (optional):

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* 7. Child's interests (optional):

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* 8. Do you have any questions you'd like discussed during the play group? If so, please add them here (optional):

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