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Inform us about Additional Needs

Please provide as much information as possible. This helps us create a unique pathway for your child's creative journey at Hive.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Yes - Within the past 12 monthsYes - More than 12 months agoNo.
Yes - they attend childcare weeklyYes - they attend a drop off class weeklyYes - we have attempted childcare / drop off classes but have not been able to continueNo.
Bee School half dayBee School Full Day3-5yrs Theatre Minis Single drop off classMusic 4-5yrs Single drop off class
Diagnosed learning or behavioural disorderAssumed or pending diagnoses of learning or behavioural disorderHigh anxietyEmotional, family or physical TraumaPhysical or sensory limitationsNon-verbal or limited communication or does not speak English yetNeeds adult assistance to toilet or eatOther
Additional Comments
Please share any strategies your family, your Specialist or School/Child Care team use that work for you (or don't) You can also upload a formal plan.
** Don't forget to upload any documents **
Please upload ANY supporting documentation here. Include reports, diagnoses, behaviour management plans or strategies.

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We will contact you as soon as possible. Please provide your best contact.

Together we can plan how we might help your child participate independently in a class that feels safe and fun.
Parent/ Carer to contact:

First NameLast Name
Parent E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Best times to contact
Should be Empty:

Inform us about Additional Needs

We will contact you as soon as possible. Please provide your best contact.