• Image field 21

  • DMI Expression of Interest

    Thank you for your interest in participating in a DMI demonstration session at NAPA.Please complete the form below and select all dates and times you are available. We will use this information to help allocate your child to an appropriate session.

  • Childs Details

  • Child's Date of Birth*
     - -
    2 digit day, 2 digit month, 4 digit year

  • Previous Therapy and DMI Experience

  • Have you attended therapy at NAPA previously?*
  • Does your child tolerate handling/therapy?*
  • Has your child participated in DMI previously?*

  • Current Skills

  • What is your child able to do independently? Please select all that apply.

  • Availability

    Please select all dates and times you could attend. Selecting multiple options will give us greater flexibility when allocating sessions.

  • Availability A – Children Under 2 Years of Age

    Children who meet one or more of the following criteria:

    • Working on head and trunk control (under 35 lbs / 16 kg) 
    • Not yet sitting or rolling 
    • Unable to hold their head

    AND

    • Under 2 years of age
  • Monday 9th November
  • Tuesday 10th November

  • Availability B – Children 5 Years and Under 
    A mix of children who meet one or more of the following criteria: 
    • Working on standing and stepping 
    • Can sit independently, but can't stand alone or take steps without being held 
    • Children who are new walkers 
    AND 
    • 5 years of age and under 

  • Tuesday 10th November
  • Wednesday 11th November
  • Thursday 12th November

  • Please let us know if there is anything else you would like us to know about your child, their current abilities, previous DMI experience, or availability.

  • Should be Empty: