By Design – Special Needs Ministry

Our children’s special needs ministry (By Design) flows from God’s love for all people. God has made all people unique and valuable. Our desire is to provide a safe and loving environment for kids and families to learn about God’s love for them in Jesus. We would invite you to get to know us and we’d welcome the opportunity to get to know your family. This Sunday morning ministry is at this time for children in preschool-6th grade.

The first step in joining us is filling out the initial contact form which can be found below.

Special Needs Contact Form

Hello and welcome to Faith Bible Church! We are here to help and serve you. Filling out this secure, online form is your first step in helping us provide a space for your child. Your confidentiality is important to us. Your answers will only be shared with your permission to classroom leaders and volunteers that are designated.

Parent Information
Parent or Gaurdian Name #1*
First Last
Email for Parent/Guaridan #1 (will receive e-mail confirmation)*
Enter Email Confirm Email
Phone Number for Parent/Guardian #1*
Would you like to add another parent/gardian to this form?
- Yes
- No
Parent or Gaurdian Name #2
First Last
Email for Parent/Guaridan #2
Enter Email Confirm Email
Phone Number for Parent/Guardian #2
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Child Information
How many children would you like to meet to discuss with our Special Needs Coordinator about?*
- 1
- 2
- 3
- 4
Name of Child
First Last
Birthdate of Child*
Month
Day
Year
Child's Grade Level*
Gender of Child
- Male
- Female
Do you anticipate that your child will do best if paired with a buddy?*
- Yes
- No
- Not Sure
Please use this box to describe any strengths and/or difficulties that your child may have in a classroom.
Name of Child #2
First Last
Birthdate of Child #2*
Month
Day
Year
Child #2 Grade Level*
Gender of Child #2
- Male
- Female
Do you anticipate that your child (#2) will do best if paired with a buddy?*
- Yes
- No
- Not Sure
Please use this box to describe any strengths and/or difficulties that your child #2 may have in a classroom.
Name of Child #3
First Last
Child #3 Grade Level*
Birthdate of Child #3*
Month
Day
Year
Gender of Child #3
- Male
- Female
Do you anticipate that your child (#3) will do best if paired with a buddy?*
- Yes
- No
- Not Sure
Please use this box to describe any strengths and/or difficulties that your child #3 may have in a classroom.
Name of Child #4
First Last
Gender of Child #4
- Male
- Female
Birthdate of Child #4*
Month
Day
Year
Child #4 Grade Level*
Do you anticipate that your child (#4) will do best if paired with a buddy?*
- Yes
- No
- Not Sure
Please use this box to describe any strengths and/or difficulties that your child #4 may have in a classroom.

By Design – Special Needs Ministry

Special Needs Contact Form

Parent Information

Child Information

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