CARES Night at the Museum 2022
Join us for Night at the Museum November 12th at the Clay Center Museum from 5:30-7:30pm. This is a free program for children and families impacted by nuerodiversity,  I/DD, and special needs sponsored by CARES. Come out and explore the museum with us!
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Your (Parent/Caregiver/Grownup) Name
Phone number
Email
County of Residence
Number of parents/caregivers/grownup attendees
Number of youth attendees
Please list any allergies and/or medical conditions that CARES should be aware of for this event.
Child’s Primary Diagnosis: *
What upsets, bothers, or scares your child?: *
What makes your child smile, laugh, and have a good time? *
What helps calm your child when they are overwhelmed or upset? *
Do any particular sounds, smells or tactile sensations bother your child? *
How can we adjust the environment to meet your needs? *
Do you require any adaptive equipment? *
How does your child communicate? *
Please list any safety concerns we should be aware of (e.g. elopement risk, likely to put things in  mouth, interested in exits or windows). *
Other things you would like us to know about your child and family: *
Child 1 Name/Age:
Child 2  Name/Age:
Child 3 Name/Age:
Child 4 Name/Age:
Child 5 Name/Age:
What do you (caregiver/grownup) like do to relax?
Is there anything we can do to make sure you (grownup/caregiver) have a good experience?
Please list any additional accommodations needed. CARES wants you to have a wonderful experience!
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