Faith City Kids Church Registration Form
Child's details
First Name
*
Last Name
*
Allergies
Does this child have any special needs eg. medical needs, disabilities, learning difficulties, sensory needs
Yes
No
Please explain
Parent/Guardian details
Parent's Name
Phone Number
*
Email Address
Your relationship to this child
Consent
Please give the details (name and Phone number) of another person (not a parent/guardian) who you authorise to collect you children in your absence, while in the care of Faith City Church Children's Ministry
Are there any custody arrangements for any child listed above
*
Yes
No
Please explain
*
I appreciate that whilst every care will be taken, the leaders and those connected with the Faith City Church Children's Ministry team cannot be held responsible for personal injury, loss or theft of property affecting my children.
*
Yes
No
I give permission for my children to be photographed or filmed. I understand that the image and/or video recording may be displayed in the church publications. I understand that as a precaution my child's names will not be published or linked with images.
*
Yes
No
I consent to my children viewing video clips rated (G) General. I understand that all material will be previewed by a leader to ensure suitability
*
Yes
No
I consent to my children taking part in the Faith City Church Children's Ministry program
*
Yes
No
Remove
Add a Child
Submit