Handwriting Heroes!

Our “Passport to Play” sessions will blend OT with culture, creativity, and adventure. Kids will love making crafts, playing games, and discovering new traditions — all while developing essential skills!

Each session we’ll explore a new country through fun, hands-on activities designed to boost your child’s:

Fine motor skills (like cutting, coloring, and crafting)
Gross motor skills (jumping, balancing, and moving)
Sensory processing (touch, sound, and movement games)
Coordination and body awareness
Social skills through group play

Our First Stop : JAPAN!

Join us for the first leg of our world tour as we land in beautiful Japan!

This session will be filled with fun, movement, and sensory-rich play to help your child develop essential skills through culturally inspired activities!

Activities include:
Origami folding
Sensory sushi making
Zen garden play
Chopstick challenges
Plus a Japanese snack tasting experience!

Spaces are limited, so secure your spot today!

📞 Call us on 79564112 or e-mail on ablesensetherapy@outlook.com

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🖊️ Details
Date: 5'th September 3-4pm
Location: Ablesense Paediatric Clinic, Victoria, Gozo
Target Age:Children aged 5-9

Price: 15 euro

Parent/Guardian Full Name*

First NameLast Name

Relationship to Child*

Mother/Father/Grandparent/Foster parent/legal guardian/etc.

Email Address*

example@example.com

Mobile Number*

Please enter a valid phone number.

Residential Address

Street Address

Street Address Line 2

CityPostal / Zip CodeCountry

To be used as Primary emergency Contact?*

YesYes, but to also add a Secondary emergency contact.No

Emergency Contact*

Full Name

Relationship to child

Mobile Number

Child's Full Name*

First NameLast Name

Date of Birth*

Date

School Year Level*

Year 2Year 3

Allergies, Medical Conditions or Diagnoses (if Applicable)

Does your child have an LSE at school?

How would you describe your child's Handwriting? Please send us a picture of your child's handwriting via e-mail on ablesensetherapy@outlook.com.

Payment

Payments are to be made via:

1. Revolut number 79564112

OR

2. Bank Transfer

Bank Name: HSBC Republic Street Victoria Gozo

IBAN: MT74MMEB44749000000074100322001

Kindly include a note with the name of your child when submitting your payment.

Once payment is complete please send proof of payment ( Screenshot or transection ID) to ablesensetherapy@outlook.com to confirm that the payment has been received on our system.

Photo/Video Permission

During sessions, photos and short videos may be taken for the following purposes: Tracking your child’s progress and documenting activities, Sharing updates with parents (privately), Internal program development, and/or Promotional materials (e.g., social media) – only with explicit consent

Photo/Video Permission*

Yes, I give permission for my child to be photographed or recorded during sessions for the purposes listed above. I understand that any public use (e.g., website or social media) will not include my child's name and will be used respectfullyYes, but only for internal use (progress tracking, training, and sharing with me privately – not for public or promotional use).No, I do not give permission for my child to be photographed or recordedOther

Permission to Participate in Program Activities

I give permission for my child (listed in this registration form) to participate in all planned activities offered as part of this program, including but not limited to the detailed programme provided within this form and use of materials such as pencils, scissors, tweezers, pegboards, etc.

I understand that all activities are designed to be developmentally appropriate and led by a qualified Occupational Therapist. I acknowledge that reasonable care and safety measures will be taken at all times.

Participation in Program Activities*

Yes, I give permission for my child to participate in all program activitiesNo, I do not give permission

Kindly provide more information regarding the permission to participate in the program's activities*

Parental Consent for Bathroom Assistance

I give permission for designated authorized personnel at AbleSense Paediatric Therapy to assist my child in using the bathroom as needed. This includes supervision and appropriate physical assistance if necessary, in accordance with the child’s developmental needs and dignity.

This consent is valid for the duration of the program or until revoked in writing.

Permission*

YesNo

Parent Signature*

Disclaimer

While every effort will be made to ensure a safe and supportive environment, I understand and acknowledge that:

The program staff are not responsible for any accidental injuries that may occur during participation in sessions.
It is my responsibility to inform staff of any medical conditions, allergies, or special requirements my child may have.
I understand that I remain responsible for my child’s well-being before and after the scheduled session times.
The program and its staff are not liable for the loss or damage of any personal items brought to sessions.

By signing below, I agree to release the program and its staff from any claims of liability or damages, except in cases of proven negligence.

Do you agree to the Disclaimer?*

I agree to the disclaimer

Parent/Guardian Name Confirmation*

First NameLast Name

Passport to Play - OT world Tour

Parent/Guardian Information

Child's Information

Permissions and Agreements