Child Profile Questionnaire – NNSW Simple Events

Hyperactive Faith Big Camp 2024 Child Profile Survey (#72)

Thank you for taking the time to fill in this profile. The information from this form is vital to the leaders of the Hyperactive Faith tent and enables them to better understand how to provide for your child’s needs. Please complete one form per child attending this tent. Please also be re-assured that information on this form is kept confidential. The only people that view these profiles are the two leaders of the Hyperactive Faith tent, the director and Admin Assistant of the NNSW Children and Family Ministries Department.

Child’s First Name:

Child’s Surname:

Age:

Gender:

Parent 1 First Name:

Surname:

Parent 2 First Name:

Surname:

Phone/Mobile

Formal Diagnosis (if applicable)

Your child’s strengths?

Your child’s challenges?

Things that may trigger a meltdown:

The best way to approach your child when a meltdown occurs:

Important Sensory Notes (e.g. highly sensitive to light, touch, noise etc)

Does your child have an IEP, if so would you like to share that with the team?

Preferred management strategies.

What resources/activities would be helpful to have prior to Big Camp that will assist your child to enjoy the tent more?

As part of registration, we require a short to online meeting with you. This meeting provides you and the staff of the Hyperactive Faith tent time to further discuss how we can best provide for your child’s needs. Please choose two appointments below that you will be able to attend. We will then contact you to confirm one of those appointments. Thank you.

I need a different appointment day and time. Please suggest below two different dates and times that you would be available.

Thank you for your time we will be in contact with you soon.