Kids Registration Form

Child's Information

First Name *

Preferred Name

Last Name *

Gender *

Date of Birth *

School

School Grade *

Primary Parent/Guardian's Information

Primary Parent/Guardian's Full Name *

Primary Parent/Guardian's relationship to child *

Primary Parent/Guardian's Email Address *

Primary Parent/Guardian's Mobile Number *

Primary Parent/Guardian's Address

Primary Parent/Guardian's City and postcode

Secondary Parent/Guardian's Information

Secondary Parent/Guardian's Full Name

Secondary Parent/Guardian's relationship to child

Secondary Parent/Guardian's email address

Secondary Parent/Guardian's mobile number

Secondary Parent/Guardian's Address

Secondary Parent/Guardian's City and Postcode

Emergency Contact

This person will be contacted if we can't reach any parents/guardians.

Emergency Contact *

Emergency Contact Relationship *

Emergency Contact Number *

Medical & Behavioural Information

If you would like to give more information to the leaders about your child's condition or needs, please email Craig Foster (Assistant Minister - Children, Youth, and Parents) at craig.foster@st-thomas.org.au

Dietary Requirements/allergies

Disabilities or Neurodivergence

Other medical conditions or concerns

Permissions

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