Kids Church 2024 Registration Form

Note: You only need to complete this form once per year. If you have already completed this form in 2024 then you do not need to complete it again.

Child's Details

First Name *

Last Name *

Gender

Date of Birth *

Mobile Number (optional)

School Grade *

Home Address *

Home Suburb *

Home State *

Home Postcode *

Allergies/medication/diet/restrictions/behavioral issues

Is there anyone who is legally restricted from seeing your child? *

Yes

Name/details

Parent 1 details

Name *

Phone *

Email *

Parent 2 details

Name

Phone

By ticking this box I indicate:

My willingness to permit my child to participate fully in the activities of Kids Church, a ministry of Cherrybrook Anglican Church
That I give my permission, in the case of a medical emergency, to the doctor chosen (either by the church authorities or other persons supervising or administering the activities), to secure proper treatment for and/or order hospitalisation, injection, anaesthetic or surgery for my child as named. I understand that every effort will be made to contact me prior to instituting such procedures
I understand that photos or videos of my child participating in these activities may be used for promotion of Kids Church and Cherrybrook Anglican Church

Agreement checkbox *

I agree to let my child participate in Kids Church