School Holidays Booking Form "*" indicates required fields Group Program* Aerial Skills: Strong Bodies, Courageous Minds! Kitchen Creations: Cooking for Confidence Cafe Crew: Barista Skills Gone Fishing: Educational River Adventure Ten Pin Bowling: Let's Bowl! Lego (OT & ST): Building Confidence & Making Friends Brainwaves Surf Group Client Name* First Last Date of Birth* Caregiver Name* First Last Phone*Email* Existing Empowered Kids Client Yes No If not an existing 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.
