(Please note: Submitting this form does not guarantee placement.)
I am completing this form as: (Required; please select one)
Are you enquiring about:
Contact information
What is the preferred way to contact you?
Age of participant(s)
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Which best describes the participant's current setting?
Would any additional support or accommodations be helpful for participation?
If yes, which areas should we discuss?
If support is required, would an accompanying support person potentially be available?
How often would the participant be interested in attending?
Would transportation to and from the Care Farm be available?
How do you anticipate participation would be funded?
Who should we contact to discuss funding arrangements?