Noble Parent Café RSVP

Parent Café RSVP
Theme: LET’S TACO BOUT YOU!
Wednesday October 9, 2024
5:00-8:00 pm
Noble Career Center @ Passage
50 Shelby St., Indpls 46204
How many adults will be attending?
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult #2 Name: *

First NameLast Name
Adult #3 Name: *

First NameLast Name
Adult #4 Name: *

First NameLast Name
Adult #5 Name: *

First NameLast Name
Adult #6 Name: *

First NameLast Name
Adult #7 Name: *

First NameLast Name
Adult #8 Name: *

First NameLast Name
How many Children will be attending?
To best support your family member during childcare please share the following information:
1. Child's Name
Child's Age:
Childs Diagnoses:
Does your child have any food allergies?

YesNo
Please explain:
Activities they enjoy indoors:
How does your child communicate best?

VerbalNonverbalSigns/ GesturesVisual PromptsUses a communication DeviceNeeds extra processing timeNeeds guides to what they need/ want
Does your child have any sensory issues? (Sensitive to loud noises, etc.)

YesNo
Please explain:
Please check any additional supports needed in the following areas:

Transition GuidanceExperiences behavior/ emotional meltdownsDoes best with a visual scheduleUse of First/ Then statementsNeeds extra processing timeSocial CuesOther
2. Child's Name:
Child's Age:
Childs Diagnoses:
Does your child have any food allergies?

YesNo
Please explain:
Activities they enjoy indoors:
How does your child communicate best?

VerbalNonverbalSigns/ GesturesVisual PromptsUses a communication DeviceNeeds extra processing timeNeeds guides to what they need/ want
Does your child have any sensory issues? (Sensitive to loud noises, etc.)

YesNo
Please explain:
Please check any additional supports needed in the following areas:

Transition GuidanceExperiences behavior/ emotional meltdownsDoes best with a visual scheduleUse of First/ Then statementsNeeds extra processing timeSocial CuesOther
3. Child's Name:
Child's Age:
Childs Diagnoses:
Does your child have any food allergies?

YesNo
Please explain:
Activities they enjoy indoors:
How does your child communicate best?

VerbalNonverbalSigns/ GesturesVisual PromptsUses a communication DeviceNeeds extra processing timeNeeds guides to what they need/ want
Does your child have any sensory issues? (Sensitive to loud noises, etc.)

YesNo
Please explain:
Please check any additional supports needed in the following areas:

Transition GuidanceExperiences behavior/ emotional meltdownsDoes best with a visual scheduleUse of First/ Then statementsNeeds extra processing timeSocial CuesOther
4. Child's Name:
Child's Age:
Childs Diagnoses:
Does your child have any food allergies?

YesNo
Please explain:
Activities they enjoy indoors:
How does your child communicate best?

VerbalNonverbalSigns/ GesturesVisual PromptsUses a communication DeviceNeeds extra processing timeNeeds guides to what they need/ want
Does your child have any sensory issues? (Sensitive to loud noises, etc.)

YesNo
Please explain:
Please check any additional supports needed in the following areas:

Transition GuidanceExperiences behavior/ emotional meltdownsDoes best with a visual scheduleUse of First/ Then statementsNeeds extra processing timeSocial CuesOther
5. Child's Name:
Child's Age:
Childs Diagnoses:
Does your child have any food allergies?

YesNo
Please explain:
Activities they enjoy indoors:
How does your child communicate best?

VerbalNonverbalSigns/ GesturesVisual PromptsUses a communication DeviceNeeds extra processing timeNeeds guides to what they need/ want
Does your child have any sensory issues? (Sensitive to loud noises, etc.)

YesNo
Please explain:
Please check any additional supports needed in the following areas:

Transition GuidanceExperiences behavior/ emotional meltdownsDoes best with a visual scheduleUse of First/ Then statementsNeeds extra processing timeSocial CuesOther
6. Child's Name:
Child's Age:
Childs Diagnoses:
Does your child have any food allergies?

YesNo
Please explain:
Activities they enjoy indoors:
How does your child communicate best?

VerbalNonverbalSigns/ GesturesVisual PromptsUses a communication DeviceNeeds extra processing timeNeeds guides to what they need/ want
Does your child have any sensory issues? (Sensitive to loud noises, etc.)

YesNo
Please explain:
Please check any additional supports needed in the following areas:

Transition GuidanceExperiences behavior/ emotional meltdownsDoes best with a visual scheduleUse of First/ Then statementsNeeds extra processing timeSocial CuesOther
7. Child's Name:
Child's Age:
Childs Diagnoses:
Does your child have any food allergies?

YesNo
Please explain:
Activities they enjoy indoors:
How does your child communicate best?

VerbalNonverbalSigns/ GesturesVisual PromptsUses a communication DeviceNeeds extra processing timeNeeds guides to what they need/ want
Does your child have any sensory issues? (Sensitive to loud noises, etc.)

YesNo
Please explain:
Please check any additional supports needed in the following areas:

Transition GuidanceExperiences behavior/ emotional meltdownsDoes best with a visual scheduleUse of First/ Then statementsNeeds extra processing timeSocial CuesOther
8. Child's Name:
Child's Age:
Childs Diagnoses:
Does your child have any food allergies?

YesNo
Please explain:
Activities they enjoy indoors:
How does your child communicate best?

VerbalNonverbalSigns/ GesturesVisual PromptsUses a communication DeviceNeeds extra processing timeNeeds guides to what they need/ want
Does your child have any sensory issues? (Sensitive to loud noises, etc.)

YesNo
Please explain:
Please check any additional supports needed in the following areas:

Transition GuidanceExperiences behavior/ emotional meltdownsDoes best with a visual scheduleUse of First/ Then statementsNeeds extra processing timeSocial CuesOther
Please provide your email and phone number so that we may contact you about our event. Your information will not be shared.
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Theme: Sow Today for a Better Tomorrow

Wednesday, April 17th, 2024
5:00pm - 8:00 pm
WHERE: Passage Apartments
50 Shelby Street
Indianapolis, IN 46202
Theme: Celebrate Summer!

Wednesday, June 12th, 2024
5:00pm - 8:00 pm
WHERE: Passage Apartments
50 Shelby Street
Indianapolis, IN 46202
Phone Number*
Please enter a valid phone number.
Do you prefer to receive an email or text message reminder? (Select all that apply) *

EmailText Message
Any pertinent information (allergies, behaviors, etc.)*
Any pertinent information (allergies, behaviors, etc.)*
Any pertinent information (allergies, behaviors, etc.)*
Any pertinent information (allergies, behaviors, etc.)*
Any pertinent information (allergies, behaviors, etc.)*
Any pertinent information (allergies, behaviors, etc.)*
Any pertinent information (allergies, behaviors, etc.)*
Phone Number:*
Theme: WEATHERING THE STORM

Wednesday, August 14, 2024
5:00- 8:00 pm.
Noble Career Center @ Passage
50 Shelby St., Indpls 46204
Should be Empty: