* Required Field Participant and Parent/Guardian Information Full Name of parent/guardian: * (first name, last name) Full Name of the child: * (first name, last name) Email of parent/guardian: * Contact number of parent/guardian: * Child's gender: * Female Male Child's age (as of February 1, 2023): * Child's primary nationality: * Child's primary language of instruction, in which they prefer to be addressed and which they understand (not necessarily speak): * English Arabic Hindi Urdu Tagalog Farsi Doesn't respond to verbal communication Other If Other, please indicate the language: Languages spoken by the child: * English Arabic Hindi Urdu Tagalog Farsi Non-verbal Other If Other, please list the language: Child's grade/year: * Name of the child's school/center (if applicable): * Does the child have a 1:1 shadow? * Yes No Child's diagnosis: * What type of group is the child most comfortable with? * Big groups (more than 6 people) Smaller groups (3-5 people) Pair (2 people) Doing things alone What is the best way to give instructions to the child? * Verbal instructions Visual cues Physical prompts (guiding shoulders, holding hands, etc.) Written text Hand gestures Other If Other, please list: Has the child played ball games before? (ex: basketball, football, handball, etc.) * Yes No Does the child have any of the following physical limitations? * Not able to run Not able to hold a basketball ball with their hands Not able to pass/throw the ball Not able to jump Poor hearing Poor eyesight (visually impaired) N/A Does the child have any specific triggers that may cause upset? * Loud noises Big groups Light Physical touch Change in routine Not being given attention Too much information Demanding/Difficult tasks Feeling frustrated Other If Other, please list: What are some ways to make the child feel more calmed down? (ex.: holding hands, sitting away from the big group, covering ears, etc.). Please be as specific as possible. * What reward systems do you use for the child to be more motivated and engaged? * Please list any recreational activities/hobbies in which the child is involved: * Is there anything else that we should know to provide a better experience for your child? Photo Upload (Required) Please follow the instructions to upload an image of the child in the box below. Be sure to follow this file name structure "Last name_First name" (e.g., Smith_Jill.jpg).* Please check the "I'm not a robot" box above and wait until the green check-mark appears before you click the submit button. Submit Having difficulty with this form? Please let us know.