Phone number *
This is YOUR phone number. Additional names and phone numbers can be added in the next section under household members.
Phone type Mobile Home Work Other
Household members
Please click "add adult" and "add child" to fill out the information for each of your child's caregivers and for the child(ren) you'd like to be a part of our CARE Ministry. If a child is not in school, please leave the "grade" blank).
+ Add adult + Add child Which service(s) do you/would you like to attend? *
Please let us know which service you typically attend on a Sunday. If you're new with us, which service would you like to attend?
Are there any siblings in the home?
This helps us know who are some familiar faces for your child.
Has your child been diagnosed with any of the following? *
Please check all that apply.
How does your child communicate? *
Select… Verbal Limited verbal Non-verbal AAC / PECS / Sign Language
Are there any immediate safety concerns we should be aware of? *
Please check all that apply.
Tell us a little about your child. What are they like at home? *
What are your child’s strengths, interests, or favorite activities? *
Are there preferences, comforts, routines, or supports that help your child feel calm or comfortable? *
Do they use any support tools? *
Example: noise-canceling headphones, fidgets, visual schedules, etc.
Are there accommodations that have worked well in other settings? *
Example: School, Church, Therapy, etc.
By checking this box, you agree to receive text messages from Radiant Church Bay City. You may reply STOP to opt-out at any time. Reply to HELP for assistance. Message and data rates may apply. Message frequency will vary. These are our Privacy Policy & Terms and Conditions if you would like to review them.
Privacy Policy:
https://www.radiantbc.com/privacy-policy Terms & Conditions:
https://www.radiantbc.com/terms-conditions Submit
