Javascript must be enabled for the correct page display
Skip to Content
DONATE NOW
open search
close search
search
youtube
facebook
instagram
linkedin
twitter
open drop
About Us
About us
What is bibic developmental therapy
Conditions we support
Meet the Trustees
Meet The Team
Join our team
Reports & accounts
Coronavirus (COVID19)
Services
Services
Johansen Individualised Auditory Stimulation
Irlen Syndrome
Live Q&A
Training Seminars
Supporting schools
Enquire about your child
Get involved
Support us
Get involved
Ways to give
Trusts & Foundations
Sponsor a bibic child
Challenges & events
Corporate supporters
bibic news
Success stories
Sign up to our newsletter!
Contact us
FAQs
bibic’s 50th Anniversary
History
youtube
facebook
instagram
linkedin
twitter
DONATE NOW
Enquire about your child
Home
»
Home
»
Enquire about your child
Enquire about your child
Step
1
of
3
33%
Your details
Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Prefix
First
Last
Address
(Required)
House number
Street name
Town
County
Postal code
Phone
(Required)
Mobile
Email
(Required)
Occupation
About your child
Your child’s name
(Required)
First
Last
Child’s D.O.B
(Required)
DD slash MM slash YYYY
Gender
---
Male
Female
Prefer not to disclose
Your three main concerns with your child
(Required)
Fine motor (handwriting, tasks with hands)
Gross motor (movement, mobility, balance & coordination)
Language comprehension (understanding language)
Expressive language (communicating)
Academic (reading, writing, maths)
Independence
Social (interacting with others)
Sensory processing
Memory & auditory processing
Visual processing
Behaviour
School (ability to manage in a classroom environment)
Other
Please tell us a little about your child's difficulties including a diagnosis if known
(Required)
More details
Ethnicity
---
White: English
White: Welsh
White: Scottish
White: Northern Irish
White: Irish
White: Gypsy or Irish Traveller
Any other White background
Mixed or Multiple ethnic groups:
White and Black Caribbean
White and Black African
Any other Mixed or Multiple background
Asian: Indian
Asian: Pakistani
Asian: Bangladeshi
Asian: Chinese
Any other Asian background
Black: African
Black: African American
Black: Caribbean
Any other Black background
Arab
Hispanic
Latino
Native American
Pacific Islander
Other ethnic group
Not Known
Prefer not to say
Other ethnicity
Religion
---
8th Day Adventist
African traditional & diasporic
Agnostic
Atheist
Baptist
Brethren
Buddhism
C of E
Catholicism
Chinese traditional religion
Christianity
Church of Scotland
Church of the Latter Day Saints
Eckankar
Evangelical Christianity
Greek Orthodoxy
Hinduism
Islam
Janism
Jehovah’s Witness
Juche
Judaism
Lutheranism
Methodism
Non-religious
Protestantism
Secular
Sikhism
Spiritism
Non-religious
Not Known
Prefer not to say
Other
Other religion
How did you first hear about bibic?
---
Facebook / Facebook support group
Instagram
Twitter
Through a friend
Website
Health professional
Advertising / Television / Radio
School
Event
Other
Other
Phone
This field is for validation purposes and should be left unchanged.
Share this page:
twitter
facebook
Home
Enquire about your child
About us
What is bibic developmental therapy
Conditions we support
Meet the Trustees
Meet The Team
History
Join our team
Recruitment Privacy Policy
Reports & accounts
Coronavirus (COVID19)
Enquire about your child
Back to top