Karta indywidualnego spotkania z rodzicem lub opiekunem

spotkanie odbyło się dnia……………………………………………………

na prośbę………………………………………………………………………

w sprawie uczestnika…………………………………………………………

pracownia………………………………………………………………………

instruktor………………………………………………………………………

rodzic/opiekun…………………………………………………………………

temat spotkania:

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Podpis rodzica/opiekuna Podpis terapeuty