Coolamon Kids & Youth Rego • CRC Countrylife

Coolamon CRC Kids & Youth Rego

It will be great to have your child/young person join in the activities we have planned. Each of your children who attend these activities can be added to this form by clicking the "add person" button below.

This year we will offer two programs:

1. Kids (Kinder to Grade 5)

2. Junior Youth (Grade 6 - Grade 9)

These will run on Sundays from 1:30pm to 2:30pm.

Child's Details

First Name *

Last Name *

School Grade *

Which Program?

Kids (Kinder - Grade 5)

Junior Youth (Grade 6-9)

As part of the junior youth program we will be giving the opportunity for children to play music together. This is a great learning opportunity for kids who currently play an instrument or would like to learn one, and a wonderful way to introduce our young people to worship music.

Please indicate what instrument your child plays or is interested in learning:

Does your child have any significant medical needs we should be aware of (eg. asthma, allergy, developmental)

Dietary requirements

Parent/Carer Phone Number *

Parent/Carer Email Address *

Please indicate whether you grant permission for a photo/image/video that includes your child(ren) to be placed in church publications, on our church website or our church social media platforms.

Consent to Photograph *

Yes

Parent/Carer Consent

Your agreement with us

I understand that some CRC Kids/Youth Church activities may involve my child leaving the church premises to participate in scheduled activities. This may involve walking or transport by car or bus. I give permission for this to occur and understand that although the leaders will take all reasonable care to ensure both the comfort and safety of my child, there is still a risk that an accident may occur. In the case of an ambulance being required for my child, I authorise the leaders to arrange for this and agree to pay any costs associated with ambulance transport or medical treatment.

Parent Consent *

Yes

Name of Parent/Carer *

Date Consent Given *