School Term Booking Form "*" indicates required fields Group Program* Brainwaves Surf Group (Term 4) Client Name* First Last Date of Birth* Caregiver Name* First Last Phone*Email* Existing EK Client Yes No If not an existing EK client, a caregiver questionnaire will need to be completed and initial session with an OT will be required prior to participating in the group.Additional InformationNote: This is not a confirmation of enrolment, and all EOI's will be reviewed by an OT to ensure suitability for the group. Group will be dependent on numbers.