Kingdom Youth Sr. (Grades 9-12)

Student name

Student gender

Date of birth

What school does the student attend?

What church does the student attend?

Current Grade (as of Fall 2024)

Grade 9 Grade 10 Grade 11 Grade 12 Other

If "OTHER" explain

Parent email

This address will receive a confirmation email

Youth email

Parent cell number

Home number

Address

Father's Name

Mother's Name

Who has custody?

Both parents together Father Mother Other

If "other" please specify

Any medical concerns?

Yes No

If "yes" please specify

Name of emergency contact (first and last name)

Relationship to Youth (ie. Aunt, Uncle, Grandparent, Family Friend...)

Phone number of emergency contact

It is the responsibility of your son/daughter to have their own transportation to and from this program unless otherwise stated.

Sr. High Youth events will often be held on Wednesday evenings 6:30 pm weekly for the majority of the year.

Some Sr. High events may also be held on Tuesday evenings, or Sunday afternoons, or Saturday as per the youth calendar.

Locations will be stated on the youth calendar.

Normal youth events such as the above will not require additional permission form.

Photo Waiver

I give permission for photos of my child to be taken for Fairview Youth activities and for use within our church presentations and website.

Yes No

Communication Waiver

This is only applicable for youth who have a cell phone. I give my permission for my youth to join Kingdom Youth Ministry GROUP chats. It is the policy of Kingdom Youth that no one-on-one electronic communication occurs between leaders and youth. Therefore, any and all text/chat will be done with at least 2 leaders in any group. Chats will be retained for a few months by one or both leaders.

N/A - My youth does not have a cell. I DO NOT give my permission. I DO give my permission.

Participation Form

THE SAFETY OF YOUR CHILD IS OUR PRIMARY CONCERN. PRECAUTIONS WILL BE TAKEN FOR THEIR WELL-BEING AND PROTECTION. DO YOU AGREE TO INDEMNIFY AND HOLD HARMLESS MINISTRY PERSONNEL , FAIRVIEW BAPTIST CHURCH, ITS PASTORS AND ELDERS FROM AND AGAINST ANY LOSS, DAMAGE, SICKNESS OR INJURY SUFFERED BY YOUR CHILD AS A RESULT OF BEING PART OF THE ACTIVITIES OF FAIRVIEW BAPTIST CHURCH, AS WELL AS OF ANY MEDICAL TREATMENT AUTHORIZED BY SUPERVISING INDIVIDUALS REPRESENTING THE CHURCH. THIS CONSENT AND AUTHORIZATION IS ONLY EFFECTIVE WHEN PARTICIPATING IN OR TRAVELING TO EVENTS SPONSORED BY FAIRVIEW BAPTIST CHURCH.

Yes, I/we have read, understood and agree with the above.

Information Waiver

FAIRVIEW BAPTIST CHURCH IS COLLECTING AND RETAINING THIS PERSONAL INFORMATION FOR THE PURPOSE OF ENROLLING YOUR CHILD IN OUR PROGRAMS, TO ASSIGN THE CHILD TO THE APPROPRIATE CLASSES, TO DEVELOP AND NURTURE ONGOING RELATIONSHIPS WITH YOUR CHILD, AND TO INFORM YOU OF PROGRAM UPDATES AND UPCOMING OPPORTUNITIES AT OUR CHURCH. THIS INFORMATION WILL BE MAINTAINED INDEFINITELY AS IT IS A REQUIREMENT OF OUR INSURANCE COMPANY AND LEGAL COUNSEL. IF YOU WISH FAIRVIEW BAPTIST CHURCH TO LIMIT THE INFORMATION COLLECTED, OR TO VIEW YOUR CHILD'S INFORMATION, PLEASE CONTACT US.

Yes, I/we have read, understood and agree with the above.

Upon registering this Youth for our program, the email address provided will automatically be added to our email list.

To find out more about our Kingdom Youth Program, please visit our website homepage and choose from our Menu, 'MINISTRIES" and click on 'YOUTH" for more detailed information.

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Kingdom Youth Sr. (Grades 9-12) - 2024/25

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Kingdom Youth Sr. (Grades 9-12) - 2024/25

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