Kids Church Registration Form
We are really excited to have your child join our children’s program at Seaforth Anglican Church and want to make sure that their time in the program is a good one for them. Please help us to do this by providing the following details:
Child's Information
First Name
*
Last Name
*
Preferred Name
Date of Birth
Gender
Male
Female
School Grade
*
-- None --
Infants
Pre-School
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
School Leaver
School Name
Parent's or Carer's Information
Parents' Names
*
Contact phone number
*
Contact Email Address
*
Special requirements or others things we should know:
We want your child to be understood, accepted and safe while they are in our care. Please help us to make this happen by providing the following information:
Does your child have allergies?
*
Yes
No
Details / Treatment
Does your child have any physical or medical conditions that may affect them during the program? (Eg. hearing loss, asthma)
Yes
No
Details
If yes, how would you like us to help them with this?
Does your child have any learning/behaviour issues that we should be aware of?
Yes
No
Details
If yes, what is the best way for us to support your child?
Is there anything else you would like us to know about your child? (Eg. medications, recent emotional events, preferences)
Yes
No
Details
Do you give permission for your child to be photographed/videoed and for those photos to be used for church presentations?
Yes
No
Submit
