Kids Church Registration Form

Child Details

St Mark's Anglican Church Darling Point is exempt from the requirements of the Privacy Act 1988 (Cth) as it is a "small business". However, we seek to deal carefully with the personal information we collect and to do so in a manner consistent with your reasonable expectations. More information is set out in our privacy policy on our website.

The personal information in this form will be made available to - (a) the leaders involved in the running of the activities in which my child participates, and (b) medical and emergency services if considered necessary.

Child First Name *

Child Last Name *

Date of Birth *

School Grade *

School

Email Address

Home Address

Home Address Line 2

Home City

Home Postcode

Parent / Caregiver / Emergency Details

Parent / Caregiver Name *

Parent / Caregiver Email *

Parent / Caregiver Phone *

Emergency Contact Name and Relationship

Emergency Contact Phone

Medical and Care

Does your child have any special dietary need that we should know about? (E.g. food allergies)

At St Mark's we welcome all young people as part of our programs, no matter their abilities and needs. We invite young people to come as they are and to grow in their love and knowledge of God, including young people who have additional needs due to physical impairment, developmental delay, mental, emotional or communication disorders and/or ongoing health challenges. We'd be glad to speak further with you about any ways we can partner with you to provide helpful care and support for your children - just let us know below that you'd like to speak further with a staff member.

Details of our child's additional needs/ anything that it would be helpful for our team to know in caring for your child

I would like to speak to staff member about this

Yes

Permissions

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

Legal Restriction Details

From time to time we may take photos or footage for promotional material. Do you give permission for your child to visible in such materials? *

Permission to attend is required. Other permissions are at the discretion of the parent/caregiver

Permission to attend all scheduled activities, unless I advise otherwise

Permission for leaders to obtain medical services in an emergency

Please confirm that the information given in this form is true and correct by typing your full name and date *