Home School Support Class Waitlist Form Question Title * 1. Parent's Name Question Title * 2. Parent's email address Question Title * 3. Child's name Question Title * 4. Child's grade for 2023/24 school year Question Title * 5. Why are you interested in our Home School Class for neuro-diverse learners? Question Title * 6. What is your child's current diagnosis? Question Title * 7. What level of funding does your child receive? Chronic Health Autism Severe Mental Health/Behaviour Learning Disability Other Question Title * 8. Does your child have ADHD? Question Title * 9. Is your child on medication? Done