Holiday Program

Adventure of Christmas

Seaforth Anglican Church

Friday 18 December 8.30am drop off and 3.00pm pick up

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Holiday Program Adventure of Christmas (Seaforth Anglican Church)
18 Dec, 2026 8:30 AM
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Your Email Address

Child's First Name

Preferred Name

Child's Last Name

Date of Birth

Gender

School Name

School Year in 2027?

Allergies / Medication

I prefer to pack food for my child

Will your child bring an EpiPen or similar, Ventolin or Antihistamine?

Is the medication within the use by date?

Do you have a management plan for us to follow? (If yes, send to felicity@seaforthanglican.org.au)

Activity Restrictions / Behavioural Issues etc

Would you like a call to discuss your child/ren's specific needs?

Doctor Name

Doctor Contact Number

Medicare Number

Date of Last Tetanus

Do you give permission for photos to be taken of your child on the day for internal use only (e.g. an in-church slideshow or a post-event email to families)?

Is there anyone who is legally restricted from seeing your child?

Please attach copies of any supporting documentation (eg: AVO or Family Court Order)

I understand by registering my child I permit my child to participate fully in the Holiday Program.

I give my permission, in the case of a medical emergency, to the doctor chosen (either by the church authorities or other persons supervising or administering the activities), to use an ambulance if needed and to secure proper treatment for and/or hospitalisation, injection, anaesthetic or surgery for my child. I understand that every effort will be made to contact me prior to such procedures.

Emergency Contact 1

Emergency Contact 1 Telephone

Emergency Contact 2

Emergency Contact 2 Telephone

The cost for the program is $20 per child or $30 for two or more children in the same family. Please make direct deposit at the time of registration to:

Account Name: Seaforth Anglican Church General Account

BSB: 032101

Account number: 180369

Reference: HKC_[CHILD’S SURNAME]

I have paid by Direct Deposit to complete my child/ren's registration