Personal Information Registration Form (Child/Youth)

Child/Youth details

//

Parent / Carer 1 (Primary contact)

Parent/Carer 2 (Secondary contact)

Emergency contact details (Tertiary contact)

Special needs

This information helps us to respect and cater for your child/youth's special needs. It also allows us to offer services that may be more relevant to your child/youth. Special needs include any physical, mental and social medical conditions and dietary restrictions that may impact your child/youth's participation in ministries, activities and events.

Use of your child/youth's personal information

This information lets us know how you want us to use your child's personal information. This section to be completed by Parent/Carer 1.

Program participation

This section to be completed by Parent/Carer 1.

Declaration

This section to be completed by Parent/Carer 1.