Community Moves WorkshopReserve Your Family's Spot Email* Name of Guardian Completing the Form* First Last Name of Participating Child* First Last Participating Child's AgeIs there anything specific we should know about your child’s needs (sensory sensitivities, behavioral challenges, triggers, interests, experience with performing arts, receptive vs. expressive language skills, non-ambulatory, independently mobile, mobile with braces or other assistive devices, etc.)?If your child uses braces or other assistive devices, can you please specify the type?*If your child uses braces or other assistive devices, can these be removed during the workshop?Would you/your child feel comfortable with having a medical volunteer assist your child, or would you prefer to assist your child independently?* Yes, my child and I would be comfortable being assisted by a medical volunteer. No, my child and I would prefer to work independently or with others attending in our group. My child and I would be comfortable with working together with a medical volunteer. Siblings are welcome and encouraged to participate! Should we expect any participating siblings from your group? If yes, how many?* How many adults should we expect in your group attending the workshop (excluding participating children and siblings)?* Will you be able to attend our Nutcracker performance at the Gaillard Center on 12/2 at 1pm in addition to the workshop?* Yes, we will attend the workshop and Nutcracker performance. No, we will only attend the workshop We are able to offer up to 4 tickets per family to see the 1pm performance of the Nutcracker at the Gaillard Center on 12/2. How many tickets do you need?* 1 Ticket 2 Tickets 3 Tickets 4 Tickets We need 4 tickets and would love ONE extra if you have them. (We will notify you if we have any extra) We need 4 tickets and would love TWO extra if you have them. (We will notify you if we have any extra) Is there anything else you’d like to share or think we should know to make this the best experience for your child?
