Inclusion Expression of Interest
Thank you for enquiring about our Inclusion Program. Please answer the following questions and our Inclusion staff will get back to you in regard to your enquiry.
Participant's Name
*
First Name
Last Name
Participant's Age
*
Parent/Carer's Name
*
First Name
Last Name
Contact email and/or phone number
*
example@example.com
Please describe any additional needs/neuro diversity of the participant
*
Please describe any complex behaviours/behaviours of concern?
*
Please provide strategies and suggestions for what will motivate your child/participant to be engaged in the program and maintain positive behaviour.
*
Please describe the goals/benefits you are hoping your child/participant will achieve with our program.
*
Any additional information
*
Please select the options you are interested in:
*
GymAbilities (INCLUSION) class: This is a 45 mins class covering boys and girls gymnastics, trampoline and general fitness. There is a 1 coach to 4 student ratio and the classes run at a quieter time in the gym.
Private Inclusion classes: This is a 1 on 1 class that can be booked for 30 mins, 45 mins or 60 mins with a coach. Goals of the class will be discussed prior to the class commencing. Booking times will be based on gym and coaching availability.
Private group booking/event: Hire our gym space and coaches to host your group event.
Submit
Please email
dylan.clarke@cyc.net.au
with any additional questions
Should be Empty: