Grace Kids Special Needs Intake Form
This form is for all new families attending Grace Bible Church on Sunday mornings or the Respite Night on Friday nights, and is designed to help us prepare to serve your family well. This form should be re-submitted by each family on an annual basis, or sooner if your child's needs change. Please submit one form per child. If you have any questions, or would rather do this in person than online, please contact Jerod Michael at
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This form was created inside of Grace Bible Church of Bend.