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When is your child available to participate in services on weekdays? Please select all times that would apply. Early Morning (7 AM – 9 AM)Morning (9 AM – 12 PM)Afternoon (12 PM – 3PM)After School (3 PM – 6 PM)Evening (6 PM-8 PM)

What services does your child need? Please select all that apply.Early Intervention and School ReadinessBehavioral Therapy (ABA)Occupational TherapySpeech TherapyOther

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