top of page

YOUTH AND Kids rego

This form registers you for Port Church Kids, Port Kids Club and Port Youth each week.

This form registers you for Port Church Kids, Port Kids Club and Port Youth for 2024.

Children's details

Which program(s) are you registering for: (check all that apply)
I consent to photos and/or videos of this child to be taken and used for promotion of Port and Warrawong Churches Kids

Medical and Care Needs

Does this child have any allergies?
Does this child have any medical, behavioural or care needs?

eg. physcial difficulties, asthma, chronic illness, learning difficultues or mental disabilities etc.

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

Parent/Guardian Details

​

Parent/Guardian 1

Parent/Guardian 2 (optional)

Home Address

Authorisation & Expectations

​

  • I give permission for my child to attend all scheduled Kids activities, unless I tell leaders otherwise. 

  • I understand that the personal details given in this form may be given to kids leaders who care for your child and that the details will not be given to any third party except for relevant supervisory/medical or emergency services personnel as deemed necessary. 

  • I authorise the Kids 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 understand that unacceptable behaviour may result in my child being sent home and/or being temporarily or permanently prohibited from attending the activities.

  • I declare by ticking the box below that I am a parent or legal guardian of the child/ren detailed in this form, that the information given above is true and correct and that I agree to the terms provided. 

Thanks for registering your child. Return to top to register another child. We look forward to meeting you :)

bottom of page