Youth & Children's Enrolment Form • Wahroonga Anglican

Registration for Youth Church and Children's Activities at Wahroonga Anglican Churches

Please complete this form for each child you are registering

This information will be kept confidential and will only be used to assist the Youth and Children's leaders to ensure your childs well being. If you have any questions about how this information is used or kept, or our programs, please feel free to contact Tamar Pollard at tamar.pollard@wahroonga.church

Child's Details

Parent/Guardian 1

Parent/Guardian 1 Name *

Parent/Guardian 1 Email *

Parent/Guardian 1 Phone *

Parent/Guardian - 2

Parent/Guardian 2 Name *

Parent/Guardian 2 Email

Parent/Guardian 2 phone *

Other information required:

Does your child have any special needs (e.g. physical, ADHD, autism, dyslexia, emotional, or English as a 2nd language) or significant behavioural problems? *

Does your child have any health problems, medical conditions that require medication or any allergies (food, drug, environmental)? Please give details: *

Is this child on a special diet we should know about? *

Is anyone legally restricted from seeing this child? *

If yes, please provide details:

If your child is restricted from any activity, please note the restriction and specify the condition involved here:

Do you authorise your child to make their own way to and from events?

Yes

Is there anything else that we should know about your child? Please share information here or let us know if you'd like us to phone *

Permissions

I give permission for photos and videos of my children to be used for INTERNAL church events like prayer nights, recap videos and other productions to show in church (i.e. not on the website). *

Photos allowed

No photos to be used

Tip: This will be used only within the Church family, and will never be shared externally

I permit my child to participate in the activities associated with Wahroonga Anglican children's and youth programs. Most of these activities will take place on the grounds of 2 Water St or Pearces Corner, or occasionally at Prouille School or Wahroonga Park. *

I agree

I authorise the leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child. *

I confirm that the information given in this form is true and correct, and will advise of any changes to this information. *

For Vine (years 6-12) only:

WhatsApp is used for communications amongst your child's small group. Each small group will have at least 2 trained leaders who will moderate the group. No one to one communication between leaders and children is permitted. If you give permission, please provide your childs mobile phone number below (please check with them first). Please confirm your permission below.

I give permission for my child in year 6-12 to be a part of a church WhatsApp Group for communications amongst their small group.

Yes

Child's Mobile Phone Number