APPLICATION FORM EIL CHILDREN | PERA MAY WEBSTORE

Emotional Intelligence Lab Enrolment for Children's Lab

Ages 4–6 | 7-9 | 10–12

This program supports children in building emotional literacy: resilience, self-awareness and confidence through creative learning.

Please share a little about your child so I can guide the best placement.

Due to limited availability, not all applications can be accepted immediately. Pera will personally review and be in touch within 24-48 hours. From there all children start with a Discovery Session. Once complete she will advise as to whether she feels 1:1 sessions or joining group sessions will be the best place to start.

Thank you so much for taking the time and considering such a wonderful opportunity for your child's development!

First name

Last name

Phone

Child’s Name & Age

Are you applying for:

Group Lab in Person Christchurch, New Zealand - details below.

Group Session Online to Join the Waiting List (launch date tbc.)

1:1 Mentorship in Person, Christchurch, New Zealand.

1:1 Mentorship Online

TERM 2 INFORMATION: E.I. LAB Group Sessions - Christchurch Located: at the Climate Action Campus, 180 Avonside Drive, Christchurch. Dates and times: Tuesday 3.45pm - 5.15pm (Age 7-9) Thursday 3:45pm - 5.15pm (Age 4-6) Saturday: open from 9am - 2.30pm various session times coming soon!

If Tuesday or Thursday doesn't suit this is the other option to apply for.

Length and Investment: Sessions are 90 minutes $35 per session - full Term enrolment is required.

Limited to 6 children per class - they fill up fast! E.I. LAB Online Group Sessions: - join the waitlist and be the first to receive notification of launch, VIP discounted offers and on going support for those on the waitlist. Launch date to be confirmed. 1:1 Mentorship both online and in person - Christchurch Located: Christchurch home-based studio in Shirley, near the Palms Mall.

Dates and times:

Monday - Friday Before school sessions open from 7.45am - 9.30am some availability. After school sessions open from 3pm - 6pm waitlisted. During the day 9.30am - 3pm most availability - enquire for a time.

Saturday: open from 9am - 2.30pm times coming soon - enquire!

Length and Investment: Sessions are 60 minutes $55 per session - full Term enrolment is required. Any questions - there's a box at the end of this form to use.

Are you able to commit to the times/days listed for the option you're applying for? e.g. if your child is 7 and you're applying for the Group Lab Term 2, it's on Tuesday at 3.45-5.15pm. Can you make this time if not Saturday?Please note your availability

What has drawn you to this program for your child?

What would you love your child to gain from this experience?

Is your child currently experiencing any emotional, behavioural, sensory, or learning challenges I should be aware of?

Has your child previously worked with any therapist, support worker, or specialist?

Are you prepared to commit to the discovery session $45. Then the full term whilst supporting your child’s integration at home?

How did you hear about this offering?

Do you have any questions?

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