New Student InformationPlease fill out the form to the best of your knowledge. If you don’t know an answer, just leave it blank. Parent or Guardian Name * First Name Last Name Phone Number * Email * Child's Name * First Name Last Name Child's Age * Child's Grade in 2022-2023 Where does your child attend school? * Best Days and Times for Lessons * What Is Your Main Concern? * General Description of Infancy and Young Childhood General Description of School Experience * What do you remember about your child's early speech? Have certain sounds been hard to pronounce? Do you remember when they began speaking? Do you know if anyone in the child's immediate family has experienced difficulties in learning? Preferred Communication (Text, Call, Email) * How did you hear about Amy Richter and/or ChildFirst Learning? * Thank you!
