Emergency Disclosure Notice
In the event of illness or injury, UPBC may share relevant medical information with emergency services (ambulance officers, paramedics, medical staff) to ensure your child receives appropriate care.
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.
If 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.
If any details provided in this form change (e.g., medical condition, custody arrangements, emergency contacts), I agree to notify the church as soon as possible so care can be adjusted appropriately.
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)