Special Friends Ministry Survey

Please note that Revival Kids will connect with you after filling out the form. We communicate with families weekly to ensure we have the staff to accommodate all our Special Friends.

To touch, such as physical sensations that your child wants to avoid?
To light or brightness, such as any attractions or avoidance to light?
To sound, such as any attractions or avoidance to sound?

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.