Online Registration Name(required) Email(required) Phone Number(required) Address(required) Date of Birth (ddmmyyyy)(required) Gender Male Female Transgender Blood Group(required) What is the preferred Language of communication? English Hindi Kannada Telugu Tamil Malayalam Bengali Sign language Others Is the Child walking without help? Yes No Does the child use a wheelchair for mobility? Yes No If ambulant how does the child find to climb up a flight of stairs? Easy Difficult Impossible Is the child going to regular school/college/University? Yes No Is the child on heart medication? Yes No Do you have reliable access to the internet? Yes No How did you hear about us? Search Engine Social Media TV Radio Friend or Family Medical Conditions Send Δ Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)