Expression of interest for Toilet Training: Learning Together program

Child's name*

Child's age*

Child's disability (please tick all that apply)

If other, please specify

Parent/carer name*

Email address*

Phone number*

Availability: Please choose one of the options below*

Wednesday 1 May 2024
Thursday 2 May 2024
I am not available for any of these dates but I would like to register my interest in future programs.

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Availability: Please choose one of the options below

I am available for future sessions on

Further details (optional)

I understand that there is a cost to attend the group. I can use my child's NDIS plan to pay for it.

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Next steps: Please choose one of the options below*

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Does the child have a disability or developmental delay? (If yes, please specify)*

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Toilet Training: Learning Together program