Eid Respite Sign-up
Eid Accommodations for Families with Special Needs and Disabilities. 

The Guildford Islamic Cultural Centre is pleased to announce that it will provide respite care during the third Eid Salah at 10:30 am in collaboration with MUHSEN, taking place at the Aria Banquet Hall. 


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Email *
Caregiver Information 

Name of Caregiver

Phone number: 
Name of person attending respite night? *
Disability of person attending respite night? *
Age of person attending respite night? *
Gender of participant attending respite:: *
Do they have some kind of supportive device? If they do, what is it? *
What is their best mode of communication? *
What do they find challenging? *
What do they find upsetting? *
What are the challenging behaviors we are likely to see when they are upset? *
How should one calm a negative behavior? *
Do they exhibit self injurious activities? Why? How can they be stopped?
What are their preferred activities? *
What are some strengths of theirs that we can build on? *
List any dietary restrictions for them? Do they have any allergies? Any food sensitivities/texture sensitivities *
List any applicable information for toileting *
Is there any additional information you would like to share?
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