Blackhawk Kids // Kids With Special Needs


We welcome kids with special needs!


We want to help all kids take their next steps of faith, and in order to do this, we ask you share some details regarding your child that will help us best meet his or her needs.

*CHILD'S FIRST NAME:
*CHILD'S LAST NAME:
*DATE OF BIRTH:
*THE CHILD ABOVE:
*SPECIAL NEED:
____________________________________________________________________________________________

GENERAL INFORMATION FOR SUNDAYS

What behaviors might we notice and how can we best respond?

ADDITIONAL SUNDAY ASSISTANCE

What type of assistance do you think would be the most beneficial to your child while attending our kids' programming?
**If you indicate that an Includer is needed, someone from the Children's Ministries team will follow up with you to connect on how we can best partner with you during Sunday programming.
____________________________________________________________________________________________

CONSENT TO DISCLOSE MEDICAL INFORMATION

Your signature indicates that the above information is complete and accurate and gives Blackhawk permission to share this information with others to ensure the safety of your child and others.

Typing your name below sufficiently serves as your signature.

*Parent Signature:
*Today's Date:
*Parent's Phone: