Please read carefully.We include a 30 minute online debrief with the Psychologist and your child’s teaching team to review the report with them so that they understand the report and recommendations. Thank you for your cooperation.Your detailsParent or guardian name* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Parent or guardian email* Child's full name* First Middle Last What is your relationship to the child?* Which school is the child attending?* I hereby give consent to share the SPOT assessment report as well conduct a 30 minute online debrief with teachers listed from the above mentioned school* Yes Teacher detailsPlease provide details for the main teacher we can contact to coordinate the debrief.*First nameSurnameEmail Please provide details for any additional teachers we should invite to the debrief meeting.First nameSurnameEmail SignatureToday's date* DD slash MM slash YYYY Signature*Please sign inside the box using either your mouse or finger on a touchscreen device.NameThis field is for validation purposes and should be left unchanged.