The Kalparrin Centre

The Kalparrin Parent Link Programme aims to help families of children with special needs to make contact with other families who share similar experiences.

I wish to join the Parent Link Programme.
I am seeking a link to a family in similar circumstances.
I am willing to be contacted by a person in a similar family situation.

Name:
Address:
Suburb:
State:
Postcode:
Phone number at home:
Phone number at work:
Mobile Phone number:
Fax number:
Email:

The following information is about your children with special needs.
Child 1 family name
Child 1 first name
Age
Date of Birth
Gender	Male Female
Primary diagnosis or special need

Child 2 family name
Child 2 first name
Age
Date of birth
Gender	Male Female
Primary diagnosis or special need
Other information:
Please list any other conditions with any of your children. eg epilepsy, Asthma, Vision/Hearing Impairment, Cysts, Tumours, Shunt, Intellectual Delay, Scoliosis etc.
Please list any support services that you have found helpful. eg Silver Chain, Respite care agencies, Post School Options, Recreation Network, Support Groups, Family Support Agencies.
Carer's Details: What, if any, services do you require or need to access as a carer?

The following information is about your children with special needs.