Registration Info 2022-23
For children 3 years old through 5th grade who are participating in the 
Sunday School and/or Church hour(s) at Fairland BIC Church.

By registering your child in Fairland's Sunday morning program, please understand that you are granting permission for any video images, photographs or audio recordings that may be taken of your child during the Sunday morning program.  These can be used, distributed or shown as Fairland BIC Church sees fit on our website, social media or promotional materials.  If you have questions or concerns about this, please speak to Kim Swartz (Children's Ministry Director) or contact the church office via our website (fairlandchurch.com).
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 Last name *
First name *
Contact Email *
Child's address *
Birthday *
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DD
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YYYY
Current grade (2022-23 school year) *
Biological gender of child
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Parent/Guardian Name *
Parent/Guardian contact phone number *
Does your child have an age-appropriate bible? *
Does your child have any allergies or special needs?
I understand all reasonable safety precautions will be taken by Fairland BIC Church and its agents during all  children's activities.  I understand the possibility of unforeseen hazards and know the inherent possibility of risk.  I agree not to hold Fairland BIC Church, its leaders, employees and volunteer staff liable for damages, losses, diseases or injuries incurred by my child. *
I understand that, in the event of an emergency and medical treatment is needed, every attempt ill be made to contact me.  If I cannot be reached, I hereby give my permission to secure medical treatment for my child as needed.  I understand that my insurance will be used as primary coverage in the event that medical treatment is needed. *
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