Speech Pathologists

To get started, select your Child's year level*

Select the group you'd like to book in for (P-3):*

Desserts & Decorations P-3 Group (3 sessions)
Mon 27 - Wed 29 June 2022 running from 9:30-11am each day at our 6A building
Board & Card Games P-3 Group (3 sessions)
Mon 27 - Wed 29 June 2022 running from 3-4:30pm each day at our 6A building

Select the group you'd like to book in for (4-6):*

There are no options available for this field.

Select the group you'd like to book in for (7-10):*

Dungeons and Dragons 7-10 Group (3 sessions)
Wed 29 June - Fri 1 July 2022 running from 1.30-3pm each day at our 7B building

Your Full Name*

Your Child's Full Name*

Child's Gender*

Has your child accessed any service at Okey Dokey within the last 12 months?*

Yes
No

If No, we will send an additional email for you to fill in our T&C and Privacy documents online.

Which clinicians does your child see at Okey Dokey?*

Does your child have a formal diagnosis? If yes, please list.*

Please describe any challenges your child experiences that may impact on their participation in the group (e.g. emotional regulation difficulties, fine motor difficulties, hitting out when angry).

What works best to support your child if they become distressed or dysregulated? (e.g. going to a quiet space for a break, taking a short walk, using sensory toys, having a drink of water).

Your Child's date of birth*

Your Mobile*

Your Email*

Your Address*

Street Address Address Line 2 Suburb State Postcode

Does your child have any allergies? If yes, please list.*

Group Program*

Price:

Total payable today

$ 0.00

Credit Card*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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Phone

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Janine White

Michaela Freeman

Jemma Aliyeva

Alice Ritchie

Group Booking Form