Alive Kids/ Sparks Attendee -Registration • Alive Church

Alive Kids/ Sparks - Registration

Child's Details

First Name *

Date of Birth *

Last Name *

Home Address *

Home Address Line 2

Home City *

Home State *

Home Postcode *

Does your child have any allergies? *

Yes

Allergen information

Does your child have custody arrangements *

Yes

Details of custody arrangements

Parent/Guardian Information

Parent 1 *

Mobile Number *

Parent 2 *

Mobile Number *

Address *

Same as child

Different address

Street Address *

Suburb *

State *

Postcode *

Permissions

I being parent/guardian of the said child understand that whilst every precaution will be taken to ensure the good welfare and protection of my child, Alive Church, it’s staff and volunteers acting on behalf are hereby released from any and all liability in the event of any accident or misfortune, damage or loss that may occur to the child & their property. In case of an emergency, I hereby give permission to the Alive Kids/ Sparks Leaders to ensure proper medical treatment for my child. I understand that every effort will be made to contact me before instituting such procedures. I agree to pay all such doctor, ambulance & hospital fees incurred on behalf of my child. I have provided any health information about my child that Sparks Leaders need to know.

Yes/no *

Yes

I understand that if my child behaves inappropriately, I will collect them as soon as I am notified. I give my consent that my child may participate in any activities over the course of the program. *

Yes

At Alive Church events, we take pictures and videos of all our activities. We may use this content on promotional materials such as brochures, flyers, websites or social media posts. Do you provide permission to use the media content involving your child/children for the abovementioned purposes?

Yes/No *

Yes