Tip: If there is a significant amount of information to update, treat this as a new registration
Tip: young person's email
Tip: young person's mobile
Tip: (if relevant)
Tip: (any costs being the parent's /carer's responsibility)?
We will ensure all appropriate care is taken. If an emergency were to arise, we will make every effort to contact you or your emergency contacts, before enacting our response.
Tip: Your name
Tip: Who can we contact in case of emergency and Care Givers are not available? (enter name, relationship, contact number)
Only complete fields where relevant. Leave blank if does not apply
Tip: Includes food allergies.
I give my permission as the registered child's caregiver, for my child to participate in any Children's Ministry/Youth activities run by Unley Park Baptist Church Inc. and acknowledge that the risk of injuries is inherent in physical activities. While I am aware that leaders will take all due care, I recognise that accidents may occur.
In the event that my child becomes ill or accidentally injured, I understand that those representing Unley Park Baptist Church Inc. will follow the instructions given above, administer first aid as necessary and contact Ambulance Services in an emergency.
The action of submitting this completed form electronically takes the place of a signature. This sufficiently satisfies the electronic signature provisions set out in section 10 of the Electronic Transactions Act 1999 (ETA)
Please note that by submitting this form you are indicating that the information provided is true and accurate and that you agree to the above terms.