Parent's Name *

First Name

Last Name

Parent's Phone *

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Is your child a (check all that apply)

Feeler

Seer

Knower

Hearer

Smeller

Does your child tend to (check all that apply)

Come across extreme or intense to others but they think everyone else is compromising

Have a strong sense of right and wrong

Be sensitive to moods of other people and atmospheres

Have difficulty enjoying crowds or big groups

Feel strong emotions and not know why

Strongly like or dislike people quickly without much exposure

Get bored with inauthentic people or recognize fake right away

Be “judgemental” toward other people for unclear reasons

Withhold what they think or feel and are very selective about when or what they will share

Be physically affected by spiritual atmospheres