Sidekicks - Participant Updates Form
Children's interests and behaviors change over time. The more current and accurate information the Sidekicks staff has the better we can support and create an enriching experience for your child. Please take 6-8 minutes to fill out the Updates Form. 
Sign in to Google to save your progress. Learn more
What is your child's full name? Please include nickname

 *
What are your child's pronouns? *
Current Diagnoses (Please list all) *
What types of interests does your child have. Please check all that apply. *
Required
What triggers or dysrgulates your child?  *
Required
Any new behaviors?  *
Required
What motivates your child currently? How do you facilitate your child's participation in activities (e.g. reward system, incentives)? *
Are there any activities that help regulate your child? Check all that apply. *
Required
How do you know when your child needs a break? How long is a typical break? What do they like to do on a break? Is there anything we should avoid doing?
 *
What helps to redirect your child when s/he is having a hard time? Be specific (e.g. topics).
 *

What does your child do when they are bored? Excited?

 *
Is there any special vocabulary that is helpful in working with your child? If so, please describe (be specific).
 *
Does your child answer to their name?
 *
Required
Would you be willing to provide a reward when your child has a good day at the Sidekicks program (if behavioral issues are prominent)? What is the reward?
 *
Are there any specific worries you have around your child attending the Sidekicks program? Is there any subject matter in the curriculum that you are concerned about or might trigger your child?
 *
Anything you would like to add?  *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms