Disabilities and Other Supports Form

Our Next Gen ministries are committed to ministering to every child. Completing this form will provide us with all of the necessary information to make your child's time in our ministries extraordinary. We want to be the least restrictive environment for your child, and to do this we have support volunteers who oversee each area and can offer support to many children who may not need a 1:1 at all times. Children/Students will always be encouraged to attend their age-appropriate worship experience as well as their small groups. Inclusion is always our goal, when appropriate. However, by fully answering the questions in the form below we get to learn more about your child/student and adapt to their needs and determine if a 1:1 Buddy is required to have a safe and fun experience in RC Kids or Tribes Jr. High. Additionally, during the 10:15am and 12pm service, our Sensory Room is available for Preschool-6th Grade. This is a sensory friendly atmosphere with skilled volunteers and an adapted curriculum provided. This space is the last room on the right in the Next Gen hallway. All kids who need additional support are encouraged to be dropped off in this space, volunteers will assist them to their groups after check-in. Completing this form does not guarantee your child will receive a 1:1 buddy. This form is for any child who may need additional support, accommodations, or adaptations on a Sunday morning or a weekday ministry service.

Jr. High+ Groups - A new group located in the Sensory Room for students in Jr. High through Young Adulthood. This group is currently being offered during the 8:45am and 12:00pm services.

*Please Note: Buddies are volunteers and not necessarily educators or medical professionals.

Your name *

Email address *

Phone number *

Child's first & last name *

Picture of Child *

To be used on their profile for internal use only - for volunteers.

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Add up to 5 files. Maximum file size 10 MB.

Gender *

Child's current grade level *

(2025-2026 School Year)

What do you love most about your child? *

Does your child receive special education services outside of the general education classroom at any point in their day? *

Does your child receive full 1:1 aide support throughout their day? *

We aim to provide any child who needs 1:1 support with an assigned 1:1 Buddy each weekend.

Child's primary diagnosis, disability or condition *

Child's allergies or other health concerns *

Please note: Volunteers will never administer medications.

Does your child experience seizures? *

Please explain in detail (controlled, uncontrolled, etc.)

Does your child need assistance in the restroom? *

Please select one below. By selecting "yes" you are authorizing volunteers to act in accordance with our policies and procedures.

How does your child communicate best? *

(Verbal, gestures, ASL, electronic device, PECS cards, single words, etc.)

Does your child need assistance with mobility? *

Please describe large and small motor skills.

Does your child have a tendency to elope or wander off? *

Does your child have a Behavior Plan in place? *

We will follow any Behavior Plan as closely as possible while your child is at Rivers Crossing.

What are your child's strengths and abilities? *

Please tell us more about what your child does well.

What are your child's preferred activities? *

Please tell us more about what your child enjoys doing. (hobbies, favorite things, favorite activities, etc.)

What kinds of things are difficult for your child to do that would be helpful for us to know? *

Please include any fears or aversions.

What comforts your child? *

Optional: Share a behavior plan, IEP, or other documents

This will be kept confidential and only be reviewed by the ministry leader.

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Does your child have any siblings that will be checked into RC Kids or Tribes Jr. High? *

If so, please list names, grade level and birthdates.

Any other relevant information you would like to share with us?

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