Element Registration form 2024 • St David's Anglican Forestville

Element Registration 2024

Thanks for taking the time to register and pay for Element for this term.

This form equips our team to plan and care for your teens and enables us to contact parents in case of emegencies.

If you completed the registration form in 2024 and you don't need to update any details - please click HERE to pay for this term.

If in doubt, please fill the form in again.

Choose Event

There are currently no events available for registration.

Child's Information

First Name *

Surname *

Gender *

Date of Birth *

School

School Grade *

Home Address

Home City

Home Postcode

Email Address

Medical & Behavioural Information

Allergies *

Does your child have any known behavioural conditions that would be helpful for us to know about? *

Please provide detailed information regarding any other medical information.

Parent/Guardian Information

Primary Contact

This is the main contact in case of emergency as well as for communication regarding your child.

Parent/Guardian Full name *

Parent/Guardian Phone number *

Parent/Guardian email *

Secondary contact

This must be different to the Primary Contact. This secondary contact should be an adult relative or friend who is easily contactable in case of emergency when the Primary Contact is unable to be contacted.

Secondary Contact Full Name *

Secondary Contact Phone number *

Permissions

I give permission for my child to appear in photos and/or videos that may be used for St David's promotions, both online or in print. *

There may be times in our Kids and Youth activities when we view films, television shows or footage from those media. Generally, these are G rated. However, sometimes we may consider showing short, relevant and appropriate excerpts of PG rated films, TV shows or footage.

I give permission for my child to participate in all Youth activities associated with St David's Anglican Church. *

In case of a medical emergency, I hereby give permission to the Doctor chosen by the church authorities or other persons supervising or administering the children's activity, to secure proper treatment for and/or order hospitalisation, injection, anaesthetic or surgery for my child as named. I understand that every effort will be made to contact me prior to instituting such procedures.

Permission for hospitalisation, injection, anaesthetic or surgery *

Cost

The cost of Element is $20 per child for the whole term.

Payment can be made by credit card payment HERE