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About
- Who we are
- Beliefs
- Our Services
- Leadership
- 5G Life
- GCC
- I’m New
- Contact Us
Sermons
Ministries
- Discipleship
  - Kids
  - Youth
  - Young Adults
  - Young Professionals
  - Men
  - Women
  - Small Groups
  - Language Groups
  - Soul Care
  - Accessibility
  - Classes
- Missions
- Service
Events
Resources
Next Steps

Accessibility Profile

Please enable JavaScript in your browser to complete this form.

Your Name *

First

Last

Email *

Child's Name *

First

Last

Child's Gender *

Child's Birthday *

Does your child's school grade correspond with their birth year? *

Yes
No
They are not in school

This will help us know what classroom they should be placed in on a Sunday morning.

If not, what school grade is your child in? *

Is your child's primary language English? *

Yes
No

If not, what is their primary language? *

Will your child have trouble understanding or communicating in English? Please explain. *

Accessibility Information

Does your child have an accessibility diagnosis? *

Yes
No

If yes, what is your child's accessibility diagnosis? *

If not, what are your child's special needs? *

Does your child have a physical disability? *

Yes
No

If yes, please specify. *

What adaptive equipment or mobility aids does your child use? *

Is your child verbal? *

Yes
Partially Verbal
No

What adaptive methods are used at home to assist in communication with your child? (signing, flashcards, etc.) *

Please suggest methods that can be used by a 1:1 buddy in a classroom setting to effectively communicate with your child.

Does your child have any allergies? *

Yes
No

If yes, please specify what allergies. *

Please include all allergies along with reactions and treatment.

Does your child have any medical conditions we should be aware of? *

Yes
No

If yes, please specify. *

Please include all that would apply, along with emergency treatments that might be required in a classroom.

Behavioural Specifics

Does your child have any unique behaviour patterns in the following contexts: *

Transitioning from one activity to the next
Sensitivity to changes in routine or environment
Understanding and/or following directions in a classroom contex
Trouble focusing on a specific activity
Sensory sensitivities (loud noises, bright lights, etc)
Other
N/A

Check all that apply.

Please specify what stimuli your child is sensitive to. *

If other, please specify the context and behaviour patterns exhibited. *

Would your child benefit from a 1:1 buddy in the classroom? *

Yes
No

Is there a flight risk? *

Yes
No

Describe in detail how misbehaviour is handled at home (take a walk, quiet time, time out, etc). *

What positive reinforcement methods are used at home to encourage and reward good behaviour? *

What special gifts, talents or strengths does your child posess? *

Are there any specific activities or items your child enjoys? *

Is there any other information about your child that would be beneficial for us to know?

Which service time are you hoping to attend regularly? *

9 AM
11:15 AM

Please note that while we will do our best to accommodate your preferred service, due to resource limitations we may ask your family to attend a specific service.

Email consent *

I agree to be in regular communication with Redemption's Kids Ministry Director via the email provided above to confirm my child's attendance on a Sunday morning as needed.

Contact Us

519-668-1977

info@rbclondon.ca

250 Commissioners Road E. London ON N6C 2T1

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Ministry Partners

Compassion Canada
Heritage College & Seminary
London Pregnancy and Family Support Centre
Safe Families