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Contact Us

Give us a call.

(707) 557 - 1102

Special Touch Learning & Training Academy Questionnaire:

Child'd Birthday
Month
Day
Year
Are you on any State Program?
No
If yes, (Name of Program) _____________________________________________
Has your child(ren) regularly attended babysitter, child care, or school?
No
If yes, (Name of Child Care/School) ____________________________________________
Is your child potty trained?
Still uses Diapers/ Pull Ups
Somewhat Potty Trained(Occasional Accidents)
Fully Potty Trained (No Accidents)

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