Playgroup Registration and Consent

Child's Name *

Child's Birthdate *

Child's Address

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Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Any special instructions, allergies, special needs, for your children *

Do you consent to appropriate use by us of photographs taken on the program that include your child e.g. inclusion on our Instagram and Facebook pages, placement on our web page or in a local church brochure? *

Yes

I understand that in filling in this form regarding my child’s participation in a Grange Baptist program, that certain elements of the program could be physically and emotionally demanding. Furthermore, I understand that certain inherent risks and dangers may exist in the activities in which my child will be participating. I acknowledge that while the organisation and its leaders will make every reasonable effort to minimise exposure to known risks, all hazards and dangers associated with these activities cannot be foreseen or may be beyond the control of the organisation, its leaders and staff. *

I understand and give concent for my child's participation

Any Questions you would like to ask us?

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Playgroup Registration and Consent