Preliminary Assessment
Is your child potty-trained?
Yes, and does NOT require assistance while using the restroom
Yes, but he/she requires some assistance while using the restroom
No, my child is not potty-trained
Is your child verbal?
Yes
No
Can your child self-report and/or communicate his/her wants and needs?
Yes
No
Other
Has your child ever displayed aggressive behavior triggered by:
Authority
Non-choice activities
Loud noises
Children
New people
What programs at Arizona Sunrays are you interested in?
NinjaZone
Dance
Learning Center
Gymnastics
SUPERCAMP
What type of class are you interested in?
One-on-one
Shadow (assistance on a standard class)
Small group
Other
What are your goals in your child getting involved in a program at Arizona Sunrays?
Mobility
Strength
Exercise
Other
I understand that Arizona Sunrays provides modified activities for children with unique abilities. At this time Arizona Sunrays does not offer other therapies.
I have read and understand the statement above regarding Arizona Sunrays programs and staff that work in the program.
Thank you. Your Preliminary Assessment was received. A member of our staff will reach out within 72 hours. Please give us a call with any questions. 602-992-5790
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Phoenix
15801 N. 32nd Street
Phoenix
15801 N. 32nd Street
Arcadia
3923 E. Indian School Rd.
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2633 W. Carefree Hwy
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