Enrolments for Term 1, 2017 are now open!

Tiny Sparks WA is pleased to open enrolments for our 'Developmental Play Group' in Term 1, 2017.

Who: Children 8 months to 36 months

When: Wednesdays 10:15 am - 11:45 am

Dates: 1st Feb, 15th Feb, 1st Mar, 15 Mar, 29 Mar

Cost: $45 per term

What: Physiotherapy, Speech Pathology and Occupational Therapy visiting at every session on a rotational basis. An opportunity for children to be monitored within a small group setting and for parents who have experienced similar journeys to meet in a safe environment with strict wellness policies.

Complete the enrolment form today to apply. Places are limited to 12. Acceptance of enrolment is first in first served.

Parent / Care Giver Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

Child (#1) Full name

First Name

Last Name

Child's gender

Child's Date of Birth

YYYY

Child's corrected age (in months)

Length of stay in Neonatal Unit

Did child participate in KEMH physiotherapy play group

Is your child walking?

Child (#2) Full name

First Name

Last Name

Child's gender

Child's Date of Birth

YYYY

Child's corrected age (in months)

Length of stay in Neonatal Unit

Did child particupate in KEMH physiotherapy play group

Is your child walking?

Additional Information and/or reasons for enrolment

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Tiny Sparks WA

Igniting the fire within.

Tiny Sparks WA is Western Australia's premier charity for high-risk pregnancies and babies born sick or premature.