Enjoy AM 2

CHILDREN ARE A GIFT FROM THE LORD; THEY ARE A REWARD FROM HIM. -Psalm 127:3

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Mission: To glorify God by making disciples of our special needs friends and their families through love, service and worship.

Purpose: To partner with one assigned student so that they might grow in Christ and in fellowship with others through the existing ministries of the church. Give parent(s) an opportunity to attend church service while their child is cared for in the Children’s Ministry.

Time: Once a month, first Sunday of the month, second service time (11:00AM -12:30PM).

Contact: Special Needs Ministry Coordinator – Bonnie Nelson 200-1401

Families must submit an intake form for their child in advance of attending. Stop by the Chapel to pick up a form, or submit the on-line version:

 

Please fill out the questionnaire below:

Special Needs Ministry Family Questionnaire


Fields marked with an * are required


















Emergency Contact Information: 

EMERGENCY CONTACTS (Other than physician.) In case of an emergency, the following
person(s) may be called and are authorized to pick up my child. At least one contact must be
provided. Positive identification must be verified before your child will be released.

























































CARE NEEDS (Please check all that apply.)





































Permission / Authorization Agreement Please read the following statements carefully and initial in the designated space indicating you have read, understand and agree to the provisions. I have fully disclosed to Calvary Chapel Red Bluff all pertinent facts about my child’s special needs and accept full responsibility for missing information. I will supply special food, drinks, snacks and diapers/wipes for my child as necessary. I understand the nature of the program and do hereby release Calvary Chapel Red Bluff and its representatives from any liability due to accident or injury of my child. I authorize Calvary Chapel Red Bluff to publish photos of my child (without his / her name) on our website and brochures for promotional purposes only. I have read and initialed the above permission / authorization statements and agree to the terms designated in each.