As a speech therapist working with children with severe communication disabilities, the author has had glimpses of some of the theological realities of such children. Several case examples are discussed against their social and cultural backgrounds, including attitudes to disability in general and communication disabilities in particular. The discussion then ventures to some examples of children and theology and some of the children's expressions of their awareness of their relationship with God. There is a need for a hermeneutical competence for health, rehabilitation, and pastoral workers in engaging with children with severe disabilities directly and interpreting their awareness of their relationship with God to others to embrace them not only as recipients but also as contributors in faith communities and in society at large.