Vbs Registration Form (Page 2 of 2) in pdf

VBS Registration Form

Special Needs Considerations

Child’s Name:_________________________

1. How does your child best communicate his/her needs? ___________________________________________

__________________________________________________________________________________________________

2. How does your child communicate when she or he does not want something? ______________________

__________________________________________________________________________________________________

3. What are your child’s strengths? _________________________________________________________________

___________________________________________________________________________________________________

4. What are your child’s challenges? ________________________________________________________________

___________________________________________________________________________________________________

5. What does your child like to do? _________________________________________________________________

__________________________________________________________________________________________________

6. How does your child socialize/make friends? _____________________________________________________

__________________________________________________________________________________________________

7. Are there any aggressive/inappropriate behaviors we should know about? __________________________

___________________________________________________________________________________________________

8. Are there any triggers of inappropriate behaviors? ________________________________________________

__________________________________________________________________________________________________

9. What are some things that help hold your child’s attention? ________________________________________

___________________________________________________________________________________________________

10. Does your child have any dietary or environmental issues we should be aware of? _________________

___________________________________________________________________________________________________

11. Does your child have physical limitations? If so, briefly describe :__________________________________

________________________________________________________________________________________________

12. Are there medical issues we need to be aware of (seizures, diabetes, medications)? ________________

___________________________________________________________________________________________________

13. What are some ways we can help your child learn about God’s love? ______________________________

____________________________________________________________________________________________

14. Is there anything else you would like for us to know? _____________________________________________

___________________________________________________________________________________________________

Publicity & Registration

Vbs Registration Form Page 2