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 ali.macintosh@st-thomas.org.au

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

Permissions

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.