Bridge Kids Special Assistance Form

This information may be shared with ministry volunteers, as needed, to adapt programming for your child.

Your name *

Email address *

Phone Number *

Birthday *

Food Allergies:

Other Relevant Allergies:

Health or Medical Concerns Diagnosis: *

Child's Favorite Activities:

Child's Dislikes, Aversions, or Triggers: *

Communication: *

Verbal

Non-Verbal

Sign Language

Special Equipment or Medical Devices Needed:

Bridge Kids Introductory Time

During your child’s time at Bridge Kids, he or she will participate in several activities. Upon arrival, your child will be dropped off in an age based classroom where he or she is allowed to play with toys and participate in crafts/game that introduce that weeks’ lesson. This is a structured time for kids to connect with other kids and adult volunteers.

Do you foresee your child needing any support during this introductory time? *

(Initiating playing with friends, communicating, sharing, taking turns, being paired with a buddy)

Bridge Kids Celebration Time

Following this initial classroom time, the preschoolers and elementary aged kids transition to “Celebration Time”. During this time of worship, kids are gathered together in a larger group setting where they watch a Bible story video and sing together. Depending on the gathering you attend, there may be up to 30+ children in one room during this time. Worship lasts approximately 20 minutes.

Does your child need assistance in traveling from one room to another? *

Does your child have any specific sensitivity to music or larger groups of people? *

Does your child have a physical disability that would prevent him or her from being able to play a game (Simon Says, Hot Potato, Relays, etc) *

Are there extra steps we can take to help make your child's worship experiences a positive one?

Is your child potty trained? Does your child need assistance going to the bathroom? *

Emergency Care

Call parents/guardians if the following symptoms are present: *

Call 911 (Emergency Medical Services) if the following symptoms are present, as well as contacting the parents/guardians: *

Take there measures while waiting for parents or medical help to arrive: *

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