We’d love to see you at our next Early Language Group!

£20 per session

Please complete the form below to register your interest in our course. We'll be in touch to let you know when the next course dates are available and send you all the details. There is no obligation to book at this stage.

First name

Last name

Child's name

Child's Date of Birth

Day

Month

Year

Phone

Is your child aged 2-4?

Yes

Is your child using spoken words?

Yes

If yes, how many words are they using? (the words don't need to be clear)

Please write some examples of the words they are saying

Are you accessing Speech and Language Therapy elsewhere?

Does your child have a diagnosis of anything?

Is your child understood by close family members?

Is your child pointing and taking you to things? What gestures are they using?

How is your child communicating?

What would you like to gain from these sessions?

Comments

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