Oatley Anglican Church Kids Alive Registration Form 2024 • Oatley Anglican Church

Oatley Anglican Church Kids Alive Registration Form 2021

First Name

Last Name

Child's Date of Birth *

Gender

Parent Name(s): *

Email Address *

Phone Number

Mobile Number *

Mailing Address *

Mailing City *

Mailing State *

Mailing Postcode *

School Name *

School Grade *

Would you like your child to be picked up from Oatley Public School? *

Tip: If you like your child to be picked up from Oatley Public School, then Ben and another Kids Alive leader will be waiting for them in the pick-up zone on Neville Street near the gate that blocks the Street. You can't miss us. We normally have a sign.

Medical/Health Details *

Tip: i.e. medical dietary requirements, medical conditions, allergies, extra needs, behavioural special needs etc. If none, please write 'none' or N/A

Emergency contact person and phone number- in case we cannot contact you *

Parents/guardians, please read:

I understand that if my child is not attending Kids Alive on any given week I will send an SMS to Ben Pantlin (043198673) before 3pm.

I give permission for appropriate medical aid to be sought for my child if the need arises. I give permission for my child to be transported by ambulance for medical assistance in the case of an emergency, or by an appropriate senior leader to safety if an unsafe circumstance should arise.

I give permission for my child to be photographed for promotional purposes only.

In filling and submitting this registration form I indicate my willingness to permit my child to participate in the activities of Oatley Anglican Church. I understand that whilst all reasonable care will be taken, I accept full responsibility for my child. Should an emergency arise, I understand that every effort to contact me will be made. If all avenues of contact with me have been unsuccessfully attempted, the Emergency Contact person listed in this form is aware of their role and should be called in such cases.

Payment: $5/ week donation
Kids Alive is run by volunteers, and so payment is used for things like the supply of afternoon tea, craft materials, and resources. Kids Alive runs for 5 weeks each term. Please make your deposit to the following account or you can pay with card or cash when picking up your child.

A/C Name: St Paul's Anglican Church Oatley

BSB: 032-167

A/C Number: 344 039

For all payments please include your child's name as a reference.

Please date your registration: *