Youth Church (Yr 5-8) Rego Form 2025

By filling out this form you agree:

I consent to my child attending St Marks Anglican Freshwater Youth Church.
I release and discharge all associated with St Marks Anglican Church, Freshwater, from all responsibility and liability for any accident or sickness which may befall the child specified below, or any damage to his or her property while attending Youth Church.

Parent/guardian details

Parent/guardian name *

Mobile Number *

Email Address *

Additional parent/guardian name (optional)

Additional parent/guardian phone number (optional)

Child details

First Name *

Date of Birth

Last Name *

School year *

Does your child have a diagnosis which it would be helpful for us to know about? *

Yes

If Yes, please provide more information

Allergies, special needs or any info to help us care for your child. Please also let us know verbally as you drop off your child *

Tip: Enter NO if there are no allergies, special needs or additional information you'd like to include

I understand that there may be photos and/or video of my child during this activity and am willing for my child to be so filmed in appropriate settings. *

Yes

I am also willing for these photos or footage to be used to promote the ministry in a way that does not identify their name or details. *

Yes

Data Privacy

The leadership team of St Marks Freshwater will treat this information confidentially. This information may be shared with a third party when it concerns medical health or care of the individuals listed. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please do not hesitate to contact us.