Journey Special Needs Family Intake Form

Safety

Child's Information

Tell Us About Your Child

If there is anything you would want to supply from home to keep here at the church that would make your time or your child's time easier, please feel free to bring it (diapers, wipes, chargers, headphones, a duplicate of a special blanket, ect.) Each child registered with The Garden and Friends Ministry will have a special bag to keep here at the church designated for him or her.

Child's Care

During the time your child is with us, we will not being serving them food or drink unless it is something you bring with you and your child is REQUIRED to have during the time they are with us. In the instance that your child does require being fed, please help us to understand their eating habits and abilities.

Please, include both negative and positive behaviors.

Permissions

ISP

Individual Spiritual Plan

Your Care

You are doing such hard and holy work 24/7. How can we help support you?

Our team will join you in agreement

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