Lil Church Registration.

Welcome to the registration form for NEAC Kids' church! Please sign up here to register your child.

Child's Info

First Name *

Last Name *

Birthday *

Gender

School Grade in 2020 (if applicable)

School

Parent/Carer Info

Parent / Carer's Name *

Mobile Number

Contact in case of emergency

Email Address

Caring for your child

Let us know anything that would helpful for us to know in caring for your child (Interests, behavioural problems, anxieties and comforts etc.)

Is there anything we need to know about your child? (allergies, special conditions, etc)

Permissions

Can we use a photo of your child in future advertising material?

Yes

No, thank you.

Duty of care

I give permission for my child to be in the care of the lil church leaders from the exiting of the service until they are picked up by myself or a nominated adult.

I will pick up my child and resume duty of care of my child 10 minutes after the conclusion of the service

I agree.

I give permission for my child/children, named above, to participate in NEAC Kids Church programme organised by The Parish of Newtown and Erskineville Anglican church. In case of emergency, I give permission for my child to receive medical treatment.

Signature:

I have signed.

Date:

Thanks for registering your child. If you have any other questions, please contact us via office@neac.com.au or (02) 9557 2043.