Youth Intake Form

Youth Intake Form

Purpose:   To help instructors understand each youth’s strengths, needs, and goals.

Youth Information

Strengths

What are your child’s strengths? (Select all that apply)

Add your text

Areas for Growth

Which areas would you like to see your child improve?

Behavior & Learning Style

How does your child learn best?

Does your child struggle with any of the following?

Goals

Additional Notes