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About
Jesus
Our Faith
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Getting Married
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Cemetery
Summoned by Bells
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What’s On?
Sunday Kids & Youth
Play Group
Kids Club
Youth
Safe Ministry
English Classes
Music
Groups
News
Sermons
Audio
Video
Subscribe
Contact
Youth and Children’s Registration Form
Please complete this form for each child under 18 years involved in St Jude's youth and children's programs in 2022.
Please enable JavaScript in your browser to complete this form.
Please select which group/s at St Jude's to register your child for
*
Sunday School (Sundays 10am)
Kids Club (Wednesdays 3pm)
Youth Group (Fridays 7pm)
Child's first name
*
Child's family name
*
Child's gender
*
Female
Male
Child's Date of Birth
*
School year in 2022
*
Pre-school
Kindergarten
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
School
*
Child's email
Child's mobile phone
Legal Restrictions
*
There is nobody legally restricted from seeing my child
There is somebody legally restricted from seeing my child (please provide details below)
Does your child have any special dietary needs?
*
No
Yes (please provide details below)
Parent/caregiver 1 first name
*
Parent/caregiver 1 family name
*
Parent/caregiver 1 email
*
Parent/caregiver 1 mobile phone
*
Parent/caregiver 1 home phone
Parent/caregiver 1 work phone
Parent/caregiver 1 street address
*
Parent/caregiver 1 suburb
*
Parent/caregiver 1 state
*
NSW
VIC
QLD
SA
TAS
WA
ACT
NT
Parent/caregiver 1 postcode
*
Parent/caregiver 2 first name
*
If there is no second parent or caregiver, please provide details for an emergency contact.
Parent/caregiver 2 family name
*
Parent/caregiver 2 email
*
Parent/caregiver 2 mobile phone
*
Parent/caregiver 2 home phone
Parent/caregiver 2 work phone
Parent/caregiver 2 street address
*
Parent/caregiver 2 suburb
*
Parent/caregiver 2 state
*
NSW
VIC
QLD
SA
TAS
WA
ACT
NT
Parent/caregiver 2 postcode
*
PRIVACY DECLARATION
*
I GIVE PERMISSION for photos and videos of my child taken at St Jude's youth and children's events to be displayed publicly (online and in print) unless I advise the coordinating leaders otherwise
I do not give permission for photos and videos of my child take at St Jude's youth and children's events to be displayed publicly (online and in print)
PICKUP - I give permission for my child to be picked up by the following persons:
AUTHORISATION AND EXPECTATION
*
I give permission for my child to attend all scheduled activities, unless I advise the leaders otherwise. I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being sent home and being temporarily or permanently prohibited from attending the activities. I will provide the leaders with any information relevant to the wellbeing of my child prior to him or her attending an activity. I confirm that the information given in this form is correct, and will advise the leaders of the activities of any changes to this information.
I do not agree to the above authorisation and expectations
Submit
