📋 CONFIDENTIAL FAMILY REGISTRATION

Book a Friendly Assessment

Share your details securely for Ms. Lakshmi's review

Everything you share on this page is reviewed in strict professional privacy and confidentiality.

Step 1: Parent Advocate Contact

Parent Full Name

WhatsApp Number

Email Address (Optional)

Step 2: Learner Profile (All Ages 2 to 18+)

Learner's Name / Moniker

Learner's Age Group

Support Needs & Focus Areas (Select all that apply)

Speech & Language Therapy (Non-verbal, delay, articulation)Sensory Integration & OT (Sensory Gym, sensitivities, motor)Behavior Support & ABA (Routines, attention, self-regulation)Special Education & IEP (Dyslexia, remedial learning)Adult Life Skills & Vocational Career Pathways (Age 18+)Weekend 1-on-1 Dedicated Support Care (Mon–Sun 9 AM – 9 PM)

Step 3: Setup Clinic Preferences

Target Center (Telangana / Andhra Pradesh)

Note: Scheduling online allows US, UK, Europe and Australia hours matching, or direct physical clinic access.

Additional observations / clinical requests

By submitting, you agree to share the child milestone information sheet with Lucky Kids Learning Center.