Wyndham Vale Soccer Club – SNAPP Registration Please enable JavaScript in your browser to complete this form.Term and timeTerm 3, 9:30am Saturday, DSM 3Term 4, 9:30am Saturday, DSM 3Child detailsChild's Name *FirstLastAge *DSM-5 autism spectrum level *Level 1 (“Requiring support”)Level 2 (“Requiring substantial support”)Level 3 (“Requiring very substantial support”)NDIS Number (if known)How is your NDIS plan managed?Self managedPlan managedName of plan managerType of school *Specialist schoolMainstream schoolGender *MaleFemaleDoes the child have a Positive Behaviour Plan?YesNoPositive Behaviour plan file upload Click or drag a file to this area to upload. Any physical restrictions or concerns we should be aware of? Does your child have any of the following? ANY EMERGENCY MANAGEMENT PLANS ARE REQUIREDEpilepsyAsthmaTourette’sDyspraxiaAuditory ProcessingSensory ProcessingODD / PDADysphagiaADD / ADHDFragile XGDD or IDOtherEmergency management plan file upload Click or drag files to this area to upload. You can upload up to 12 files. What are your child's OT goals?What are your child's social goals?What are your child's special interests?Contact detailsContact 1 *FirstLastRelationship to child *Phone *Email *Contact 2 *FirstLastRelationship to child *Phone *Email *Do you give SNAPP permission to use your child’s image for INTERNAL USE ONLY? EG: Videos for Grant ApplicationsYesNoSubmit