Children/Youth Registration • St Paul's Anglican

Children/Youth Group Registration

Child/Youth Details

First Name *

Last Name *

Date of Birth *

Gender *

Parent's Mobile Number (or Youth's Mobile Number)

Address *

Suburb *

Post Code *

School (if applicable)

Tip: School your child attends

School Grade (if applicable)

Allergies

Further Information on allergies or special needs that will assist leaders.

Family Details (Emergency Contact Details)

Parent/Guardian Name: *

Mobile Number *

Email Address *

Group Registration *

Sunday Groups (Baby-Yr 6)

Ignite Years 3-6 (Friday Night)

Salt Year 7-12 (Friday Night)

SMS Year 7-8 (Sunday AM)

Light Year 7-9 (Sunday during Chinese Church)

Wednesday Women Creche (0-5y)

Tip: Please indicate which group/s you are registering for.

Parent/Guardian Name:

Mobile Number

Email Address

For Sunday groups: Parent Attend Church while child attends Group?

St Paul's Service attended

Tip: Please select which service/s apply.

Photo Permission

I give the following permission: Photos and Videos may be used for St Paul's Anglican programmes and services and/or for advertising purposes. *

The information collected on this form will be used for the purpose of arranging this St Paul’s ministry activity. It will be disclosed to St Paul’s staff members and will be handled in accordance with our Privacy Policy. By completing this form, you indicate your consent for us to collect, use and disclose the information you have provided above in this manner.