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All About My Dancer
Please provide us with information about your dancer.
Dancer's Name
*
First Name
Last Name
What are some of your dancer's favorite songs?
*
What are you dancers favorite characters, tv shows, movies, etc.
*
How does your dancer communicate (select all that apply)
*
crying/vocalizations
sign language
picture exchange communication
single words
sentences
imitation or may need prompting
Other
If your dancer feels overwhelmed/upset, what strategies are calming? (select all that apply)
*
a quiet break
big hugs/squeezes
joint compressions
rubbing textures
heavy work
A special object/item
A drink of water
Other
Does your dancer need reminders to use the restroom?
*
No
Can your dance participate in dance with or without reasonable accommodations?
*
Yes
No
Please share any modifications or adaptations that may support your dancer in successful dance participation and/or ensure their safety.
Does your family celebrate birthdays and holidays?
*
Yes
No
The Primary Language Spoken in the home is:
*
English
Spanish
Other
What else would you like us to know about your dancer?
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