Child and Youth Information Update Form • Fairlawn Mennonite Church

First Name *

Last Name *

Age *

Date of Birth *

Gender *

What is your child/youth's school setting? *

Homeschooled

Private School

Public School

What class/grade will your child be in for the 2025-2026 school year? *

Tip: Choose "Children," "Jr. High," or "Youth" and your current child/youth's grade or best description. (i.e. if your child is 5 and not in Kindergarten, choose the "preschool" box)

Mobile Number

Email Address

Health Concerns/Allergies/Other Info

Tip: Please include any and all information we need to know to keep your child/youth healthy and safe.

To your knowledge, has your child/youth made a profession of faith?

Yes

No

I don't know

I wish not to answer

Primary Parent/Guardian First Name *

Primary Parent/Guardian Last Name *

Primary Parent/Guardian Mobile Number *

Primary Parent/Guardian Email Address *

Spouse First Name

Spouse Last Name

Spouse Mobile Number

Spouse Email Address

2025-2026 Child and Youth Information Update Form

This form is intended for children and youth, birth-12th grade. This form will help us with the child check in process and give us accurate/up-to-date contact information.

PART 1: CHILD/YOUTH INFORMATION

PART 2: PARENT/GUARDIAN INFORMATION

PLEASE COMPLETE A FORM FOR EACH CHILD/YOUTH IN YOUR HOUSEHOLD