Bridge Buddies Registration form

Bridge Buddies is our dedicated inclusion and disability support team within Bridge Kids. We believe every child, regardless of ability or differences, is made in the image of God and deserves a safe, loving, and inclusive environment to learn about Jesus. Bridge Buddies volunteers provide extra support to help any child engage and participate in their classroom and with their peers, whether due to a disability, sensory needs, or other unique requirements.

Your name *

Email address *

Please fill out child's information below:

Child’s Name *

Birthdate

Gender

I would like my child to be partnered with a buddy as they participate in their age appropriate classroom: *

yes, I would like my child to have a buddy

They need additional support in the classroom, not necessarily an assigned buddy

My child is the happiest when: *

Describe any activities and interest that your child enjoys: *

My child learns best by: *

Skill areas / behaviors that are more difficult for my child: *

(i.e. sitting still, reading aloud, communicating needs, etc.)

My child shows the following signs when he/she is stressed, overwhelmed and/or needs a break: *

Strategies that help my child regroup and feel safe are: *

Health issues that may impact a classroom or small group setting: *

(Diagnosed or not, any information that would help us to meet his/her needs)

Describe any self-help or safety needs that your child has: *

(i.e. toileting, feeding, mobility, etc.)

I would like to be sent additional information regarding:

Family Support Group

Special Events (respite nights, kids events, etc.)