Kids Registration Form

Child's Information

Parent's Information

Emergency Contact

Medical & Behavioural Information

Does your child have any known allergies/medical information we need to know about? If YES please fill in below and email any relevant Action Plans to

Does your child have any known behavioural conditions we should know about?


I give permission my child to appear in photos and/or videos that may be used for St Thomas' promotions

I give permission for my child to participate in all children's activities associated with St Thomas' Anglican Church (on the premises or at Civic Park)

In case of a medical emergency, I hereby give permission to the Doctor chosen by the church authorities or other persons supervising or administering the children's activity, 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.