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Download a PDF copy of our brochure. | ||
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Fill out the Client Details form
and send to Focus on Individual Learning via the www Gateway | ||
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408a River Valley Road, S(248306) HP: 98354030 Fax: 67383240 | |
| Parent's Name [Required]: | ||
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| EMail [Required]: | ||
| Parent 2 Name: | ||
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Please indicate the service you are interested in below. | ||
| I am interested in a General Discussion Session | ||
| I am interested in Assessment and Support Program | ||
| I would like to book the Initial Assessment | ||
| I am interested in Auditory Integration Training (A.I.T.) General Discussion | ||
| I would like to book the Auditory Integration Training (A.I.T.) 2 Week Programme | ||
| I am interested in Visual Deficiency Programme General Discussion | ||
| I would like to book the Visual Deficiency Programme Assessment | ||
| I am interested in Neuro-Physiological Movement Programme General Discussion | ||
| I would like to book the Neuro-Physiological Movement Programme Assessment | ||
| Child's Name: | ||
| Child's Date of Birth: | ||
| School: | ||
| Home Tel(s): | ||
| Mobile(s): | ||
| Address: | ||
For ease of arranging potential programs and follow-up, we would appreciate knowing your current travel plans (if any) and the most suitable time for programme commencement. | ||
| If out of Singapore date returning: |
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| Date interested in Programme: |
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| Start date of next school term: |
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| Details of concerns: | ||
