Buddy Request Form

Here at New Life Church, we’re continually seeking ways to better love all of our families through inclusive measures in all of our experiences! This includes our families with children who've experienced trauma, those navigating raising kids who have disabilities that may be medical and/or behavioral, or any other experiences that have caused worry and stress in group settings.
Once you fill out this form, someone from our New Life Kids Team will reach out to you to set up a brief meeting to allow for you to take a look at our rooms and get more information on how our Buddy Team works. Thank you for trusting us to help you point your kid(s) to Jesus!

Your name *

Email address *

Child's Name

Gender

Child's Birthday

What school does your child attend?

What sensory activities does your child prefer? *

What things cause your child anxiety? *

What can we do to calm your child when they become anxious? *

What does it look like when your child is starting to become overwhelmed?

Does your child need a sensory room or special place to retreat if they become overwhelmed? *

Yes

How does your child best communicate? *

ie: Vocally, Picture Cards, Device, Etc.

Does your child tend to stay with the group or wander? Or do they tend to run? *

What is the best way for us to support your child? *

List anyone that could be dropping your child off and their relation. *

If you feel comfortable, please provide any diagnosis information for your child. *

Does your child have any allergies or other medical conditions? *

Is there anything else you would like us to know about your child? *