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* 1. Parent's Name

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* 2. Parent's email address

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* 3. Child's name

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* 4. Child's grade for 2023/24 school year

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* 5. Why are you interested in our Home School Class for neuro-diverse learners?

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* 6. What is your child's current diagnosis?

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* 7. What level of funding does your child receive?

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* 8. Does your child have ADHD?

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* 9. Is your child on medication?

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