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"Share Your Story" Form
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Child's name (first & last):
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Child's birthday:
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Parent/Guardian name(s) (first & last):
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Parent/Guardian email(s):
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Emergency contact name (first & last):
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Emergency contact phone:
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We as a team are so excited to have your child here! What are some things we can do to help them feel loved and welcomed?
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What are some of your child's favorite activities?
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Please list any medical and educational diagnoses that would be helpful for our team to know
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Please list all medications your child is currently taking, and please take note if any of these medications must be left on site with your child.
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Please list any allergies your child has:
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What (if any) triggers cause your child to become frustrated or fearful?
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If there is a trigger, what do your child's behaviors look like?
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If your child becomes upset, what are the best coping strategies to help them deescalate?
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What does a successful Sunday morning look like for you and your child? (skip if you do not attend Bethany on Sunday mornings)
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What language or supports can be used proactively (e.g., common verbiage used at home and school, social stories, visuals, etc.)?
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Every child is special, what is something unique about your child that will help us understand and connect with them?
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Anything else you would like a buddy to your child to know?
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Belong Ministry Rhythms & Support
Belong Ministries provides regular Sunday morning buddies for all children that could use any extra support for Sunday School or other church events. Are you interested in a Sunday Buddy for your child?
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If so, what service would you prefer?
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What Belong Ministry events are you interested in receiving regular invitations to?
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Are there other ways your family could use support during this time?
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