NT Kids Special Needs Ministry NT Kids Special Needs Ministry Form Child's Name * First Name Last Name Birthdate * MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number * Guardian's Name * First Name Last Name Sibling's Names If siblings, what grades are they in? Disability * Medications *Medications will not be given during NT Kids Allergies Seizures If yes, what do they look like. Restroom Needs *If child is not potty trained, diapers will not be changed during NT Kids Child's Interests Behaviors Triggers Calming Strategies Suggestions Thank you!
