NLK Special Needs Questionnaire
We are so excited for you and your family to come check out TNLC! Please complete this form so we can get to know your child. 

Our vision is for your child to be loved, seen, and experience the gospel on Sunday mornings. We look forward to partnering with you and your family.
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Name completing the form *
Email *
Name of child *
Age/Grade of child  *
Siblings
What is one or two of your favorite things about your child? 
 *
What are their strengths and interests? 
 *
What is their regular daytime setting? (School name & grade, day program name, home)
 *
What supports/accommodations do they receive at school, if any?
 *
Describe their communication. 
 *
What helps with transitions?
 *
What can help calm, soothe or redirect your child if upset /agitated?
 *
Is your child independent with toileting or what assistance is needed? 
 *
Does your child mouth, chew or swallow non-food objects? 
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Does your child have any food allergies or sensitivities? Can they have a snack with us?
 *
Does your child experience seizures?
 *
Does your child have any tendencies that could put themselves or others at risk?
 *
How does your child react to loud environments?
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Does your child enjoy music?
 *
Does your child enjoy large group settings? 
 *
Is there anything else that would be helpful for us to know? 
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