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Assistant Minister (Children, Youth & Parents)
Music Director
Menu
Online Church
About
Us
Vision 2030
Our Mission Partners
Get Involved
Discipleship Groups (CDG)
Kids
Youth
Social Groups
Life Series
English Conversation Classes
Gap Year Programme
MTS
Serve
Give
Events
Upcoming events
Baptisms, weddings and funerals
Sermons
Contact
Work with Us
Assistant Minister (Children, Youth & Parents)
Music Director
PLAN YOUR VISIT
Christmas Holiday Club
Christmas Kids' Club 2024
19th and 20th December 8.30- 3pm St Thomas' Anglican Church Memorial Hall K-Yr 6
PARENT'S / CAREGIVER'S DETAILS
This online form and payment must be completed by the parent / caregiver and will act as a permission slip for your child/ren.
Your name
*
First
Last
Your email
*
Your mobile number
*
Your relationship to child/ren
*
Father
Mother
EMERGENCY CONTACT DETAILS
Emergency contact name (if you are unavailable)
*
First
Last
Emergency contact mobile number
*
Emergency contact relationship to child/ren
*
Father
Mother
How many children are you registering for both days?
*
1
2
3
How many children are you registering for Thursday 19th Dec ONLY?
*
1
2
3
How many children are you registering for Friday 20th Dec ONLY?
*
1
2
3
Sub-Total
$ 0.00
CHILD 1
Child's name
*
First
Last
Date of birth
*
DD slash MM slash YYYY
Gender
*
Male
Female
School
*
School year
*
K
1
2
3
4
5
6
Do you give permission for the leaders to dismiss your child at 3.00pm and for them to walk home?
*
Yes
No
Does your child have any known allergies/medical information/disabilities and/or behavioural issues that the leaders should be made aware of?
*
Yes
No
If YES, please provide full details
In case of a medical emergency, and a parent cannot be contacted, 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/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
*
Yes
No
I give permission my child to appear in photos and/or videos that may be used for St Thomas' promotions
*
Yes
No
CHILD 2
Child's name
*
First
Last
Date of birth
*
DD slash MM slash YYYY
Gender
*
Male
Female
School
*
School year
*
K
1
2
3
4
5
6
Do you give permission for the leaders to dismiss your child at 3.00pm and for them to walk home?
*
Yes
No
Does your child have any known allergies/medical information/disabilities and/or behavioural issues that the leaders should be made aware of?
*
Yes
No
If YES, please provide full details
In case of a medical emergency, and a parent cannot be contacted, 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/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
*
Yes
No
I give permission my child to appear in photos and/or videos that may be used for St Thomas' promotions
*
Yes
No
CHILD 3
Child's name
*
First
Last
Date of birth
*
DD slash MM slash YYYY
Gender
*
Male
Female
School
*
School year
*
K
1
2
3
4
5
6
Do you give permission for the leaders to dismiss your child at 3.00pm and for them to walk home?
*
Yes
No
Does your child have any known allergies/medical information/disabilities and/or behavioural issues that the leaders should be made aware of?
*
Yes
No
If YES, please provide full details
In case of a medical emergency, and a parent cannot be contacted, 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/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
*
Yes
No
I give permission my child to appear in photos and/or videos that may be used for St Thomas' promotions
*
Yes
No
Payment
The cost of $25 covers one child for one day. Morning tea is provided, but please bring your own lunch. If the cost is an issue, please don't let it stop your child coming. Feel completely free to get in touch with Annika (
[email protected]
) and we will try to arrange something that works.
Total
$ 0.00
