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Gifted + Talented Form

CHILD'S Name *

CHILD'S Name

First Name

Last Name

AGE *

ROOM NUMBER *

CAREGIVER'S NAME *

CAREGIVER'S PHONE NUMBER *

Please share your child’s interests, projects or hobbies

What are your child’s strengths (specific ability)?

How would you describe your child’s learning needs?

Thank you!

Thank you,

PHONE | 03-548 4050 VISIT | 1/18 Manuka St, Nelson, NZ, 7010