Meet friends
& talk about
your feelings
Kids feel
the pain of
loss
PROUDLY HOSTED AT OUR LADY OF THE MAGNIFICAT CHURCH
K THROUGH 8TH GRADE
Dear Kids,
Suppose…..someone told you that you are special?
Yet, sometimes you feel sad because you live in a singleparent family or a step family….
Or you feel out of place when you see friends with
a Mom or Dad together…..
Or you feel you must keep your parent happy,
especially when they are sad….
There is finally a time set aside just for you to get
together with other kids your age and talk about what is
happening in your life.
Be a part of this special group for children just like you.
PARENTS ARE WELCOME TO JOIN THE PRISM GROUP.
THERE IS NO CHARGE FOR THIS PROGRAM.
A 12 week program
Tuesday, 7:15-8:00 p.m.
OLM School – Kinnelon, NJ
Registration: October 2, 2012 (6:30-7 pm)
Sessions begin: October 2, 2012 (7:15 pm)
Any child interested
please call our local
coordinator A.S.A.P.
Claudette Y. Meehan, 973- 492-9406 OR Elaine Porter 973-283-8208
---------------------------------RAINBOWS REGISTRATION FORM-----------------------Name of Child ______________________________________________________________________________
Address____________________________________________________________________________________
Phone Number (______)______________________Age______Birth Date______________________________
School Name_________________________________________________________________ Grade_________
Name of Custodial Parent/Guardian____________________________________________________________
Does this child see their non-custodial parent?_______yes______no
Is he/she willing to participate in Rainbows?_____yes_____no
Explanation of family circumstances____________________________________________________________
Ages and names of siblings____________________________________________________________________
Has this child ever been in Rainbows before?_____yes_____no
Please state any food allergies__________________________________________________________________