Intake Form
Does The Participant Have Allergies/Food Sensitivities?
Are allergies life-threatening?
Does the participant have an EpiPen?
Assistance needed when eating or drinking?
Toileting Needs (please pick one)
Medication?
Participant's mode of communication?
Does the participant enjoy
Does the participant prefer to play?
Does the participant prefer
Is your child/loved one able to

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