Children's Ministries Registration Form
Child's First Name
*
Child's Last Name
*
Children's Ministries
Kids Club
BASIC
COMPLICATED
Girl's Group
Playtime
Boy's Club
GLUE SAndWICH
Ormond Anglican Strings
Date of Birth
*
School Grade
*
-- None --
Pre-school
3yo Kinder
4yo Kinder
Prep
1
2
3
4
5
6
7
8
9
10
11
12
Other
Home Address
Home Suburb
Home Post Code
Home Phone Number
Parent/Guardian Details
Parent/Guardian #1(Primary contact)
*
Relationship to child
Contact Number
*
Email
*
Parent/Guardian #2
Relationship to child
Contact Number
Email
Emergency Contact
Name
Relationship to participant
Address
Contact Number
Doctor/Health Contact
Doctor Name
Doctor Address
Doctor Contact
Medicare Number
Health Concession Card Number
Private Health Fund
Private Health Fund Number
Ambulance Member
Yes
Ambulance Member Number
Medical Conditions
Allergies
Medication
Food Requirements
Is there anything else we need to know about your family?
Permissions
I consent to my child’s participation in the activities I have indicated above. I will encourage my child to participate and cooperate with the leaders and other participants.
I have read the
Ormond Anglican Behavioural Policy for Children’s Activities
and accept that behavioural issues will be managed in accordance with the policy.
I consent to my child's participation in online activities using social media platforms, including Zoom, YouTube, Facebook, Discord, messaging services, emails etc. (Please be aware that some of these platforms require individuals to be 13 years of age). I understand there will always be at least two approved adults in attendance. I understand there will be NO one-on-one online communications with children under 16 years of age.
I give permission for my child to participate in activities outside offsite.
I give permission for my child to be transported in private cars arranged by the leaders as necessary for a programme.
I
authorise
the leaders in charge of any activity conducted by Ormond Anglican Church in Ormond, to consent on my behalf, where it is impractical to communicate with me, for my child to receive medical or surgical treatment as may be deemed necessary. I am also responsible for the cost of any medical treatment deemed necessary.
I understand there may be photographs and video footage taken of my child during activities and am willing for my child to be filmed in appropriate settings. I am willing for these photos or footage to be used within Ormond Anglican to promote the ministry in a way that does not identify their name or details.
I accept that photographs may be
p
u
b
l
i
s
hed
in the weekly news and
on the Ormond Anglican w
e
b
s
i
t
e
.
My child is also willing for this to take place.
I understand that church services may be streamed live. I am willing for my child to appear in a livestreamed service. I acknowledge that the proceedings may be available for viewing after services have concluded.
Names of people allowed to collect my child in the event that I am unable
I Agree
*
Yes
Signed By
*
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