DCFORM Parent InformationParent Name(Required) First Last Email(Required) Address(Required) Street Address City ZIP / Postal Code Mobile Phone(Required)This will be used for communications.Parent Date of Birth(Required) MM slash DD slash YYYY Do you call theChapel your home church?Please Select...YesNoChild #1 InformationChild Name(Required) First Last Child Date of Birth(Required) MM slash DD slash YYYY Allergies? If so, please describe below for us.Grade child will enter this Fall.(Required)Please Select...1st Grade2nd Grade3rd Grade4th Grade5th GradeDoes your child have special needs?(Required)Please Select...YesNoIt's our desire to ensure that your child has the best experience possible, please give us a little more information about your child. Is (are) there any type(s) of sensory input your child is sensitive to? If so, please provide the details below.Auditory (loud noises, loud music, large crowds, specific sounds, etc.)Visual (darkness, bright or flashing light, etc.)Tactile (textures, messy play, etc.)Olfactory (smells, perfume, etc.)What is your child’s primary means of communication? (Verbal, Sign-Language, Gesturing)When your child is distressed, what helps to calm him/her?Is there anything else that you feel we should know about your child?Would you like to register another child?(Required)Please Select...YesNoChild #2 InformationChild Name(Required) First Last Child Date of Birth(Required) MM slash DD slash YYYY Allergies? If so, please describe below for us.Grade child will enter this Fall.(Required)Please Select...1st Grade2nd Grade3rd Grade4th Grade5th GradeDoes your child have special needs?(Required)Please Select...YesNoIt's our desire to ensure that your child has the best experience possible, please give us a little more information about your child. Is (are) there any type(s) of sensory input your child is sensitive to? If so, please provide the details below.Auditory (loud noises, loud music, large crowds, specific sounds, etc.)Visual (darkness, bright or flashing light, etc.)Tactile (textures, messy play, etc.)Olfactory (smells, perfume, etc.)What is your child’s primary means of communication? (Verbal, Sign-Language, Gesturing)When your child is distressed, what helps to calm him/her?Is there anything else that you feel we should know about your child?Would you like to register another child?(Required)Please Select...YesNoChild #3 InformationChild Name(Required) First Last Child Date of Birth(Required) MM slash DD slash YYYY Allergies? If so, please describe below for us.Grade child will enter this Fall.(Required)Please Select...1st Grade2nd Grade3rd Grade4th Grade5th GradeDoes your child have special needs?(Required)Please Select...YesNoIt's our desire to ensure that your child has the best experience possible, please give us a little more information about your child. Is (are) there any type(s) of sensory input your child is sensitive to? If so, please provide the details below.Auditory (loud noises, loud music, large crowds, specific sounds, etc.)Visual (darkness, bright or flashing light, etc.)Tactile (textures, messy play, etc.)Olfactory (smells, perfume, etc.)What is your child’s primary means of communication? (Verbal, Sign-Language, Gesturing)When your child is distressed, what helps to calm him/her?Is there anything else that you feel we should know about your child?2Would you like to register another child?Please Select...YesNo
