acknowledge that the assessment systems used by Connect Movement Therapy to obtain a developmental profile of my child/the child in my care and the associated fees of the program, method of implementation and review processes have been explained to me.

I provide permission for non-identifiable material obtained during the program to be used in ongoing research and training about the method and effectiveness of the programs. (Please note research data/information will be anonymous and no personal or private information pertaining to your child will be passed on to other parties without your prior permission unless it is deemed necessary within legislative requirements of practice.) Video recordings of assessments may be used from time to time as comparative data and will not be used in education and training without your prior approval.

I acknowledge that I, or a carer representative, will be present for all assessments and reviews in the program.