Sibling Harmony — Nurturing Connection When One Child Has Special Needs (Masjid Wali Respite)

Sibling Harmony — Nurturing Connection When One Child Has Special Needs (Masjid Wali Respite)

Join us on Saturday, November 1st from 3:30 - 5:30 PM for respite hosted by MUHSEN during the Sibling Harmony program! Enjoy a well-deserved break while our dedicated MUHSEN Volunteers look after your loved ones. This is a respite drop off event for participants with special needs only. Date: November 1, 2025 Time: 3:30 - 5:30 Location: Masjid Al Wali Al Wali Community Hall 9 Olsen Ave. Edison NJ 08820 Questions? SusanPopal87@gmail.com Details: Drop off your loved one in the care of trained MUHSEN Volunteers!
Caregiver Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
FemaleMale
Name of Participant*

First NameLast Name
Disability of Participant:*
Age of Participant*
Do they have some kind of supportive device? If so, what is it? *
What is their best mode of communication?*
What do they find challenging? *
What are the challenging behaviors we are likely to see when they are upset?*
How should one calm a negative behavior?*
List any dietary restrictions for them? Do they have any allergies? Any food sensitivities/texture sensitivities*
List any applicable information for toileting*
What are their preferred activities?*
What are some strengths of theirs that we can build on?*
Is there any additional information you would like to share?*
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Respite Ticket
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