LMAP Children's Programs, Registration Form • Lower Mountains Anglican Parish

LMAP's Children's programs - Registration Form

Thank you for registering your child/ren for one or more of our children's programs at our Church

We hope to serve both you and your child/ren through our children's programs. We are looking forward to helping your child grow as a disciple of Christ!

Thank you for giving us the details below so we can care well for your child/ren. The information you provide on this form will be considered to be in perpetuity. Please ensure you advise our church office if any information changes.

If you have more than one child, please select 'Add Another Person' at the bottom of the form.

Please note that all leaders have undergone Safe Ministry Training and undergone a Safe Ministry Check in accordance with the Sydney Diocese Professional Standards, and have a cleared and current Working With Children Check.

We welcome all children to our programs. If your child has extra needs please speak to one of our Ministry Team either in person or via the church office so we can discuss how best to support those needs.

You can contact the Church Office at (02) 4739 1316 or admin@lmap.org.au

Please note: an asterix indicates a required field.

Child details

First Name *

Last Name *

Gender *

Date of Birth *

Email Address (if appropriate)

Mobile Number (if appropriate)

Street address *

Suburb *

School Grade

School Attending

Help us care for your child

allergies

Does your child have allergies?

description of allergies

other dietary requirements

Does your child have any other dietary requirements (not allergies)?

description

We will endeavour to take dietary considerations into account when planning activities involving food, however morning tea/supper foods are generic in nature. Please advise a leader if your child needs support to manage this.

medication

Will your child require medication during the activity? *

description of medication

activity restrictions

Is your child restricted from doing any activities (e.g. strenuous exercise)? *

description of activity restrictions

behavourial supports required

Does your child live with a disability or require particular supports to manage in a group setting which can get noisy? *

Please let us know how to support your child

contact restrictions

Is there anyone legally restricted from contact with your child? *

please supply details

other

Is there anything else we should know about your child in order to look after them well (e.g. asthma, mental health conditions, long term illness etc) *

please supply details

Your details

First Name *

Surname *

Email address *

Phone contact *

Your address (if different from above)

Your relationship to this child *

Other parent /caregiver name and contact details (if applicable)

In the case of a medical emergency, where I am not present, I give permission for the leader or other persons supervising or administering the children's program to secure proper treatment for and/or hospitalisation, injection, anaesthetic or surgery for my child as named. I also understand that, if applicable to my child's medical needs, I will need to provide an Epipen for them in the case of an emergency. *

Privacy Declaration

The Lower Mountains Anglican Parish is exempt from the requirements of the Privacy Act 1988 (Cth) as it is a small business. However, we seek to deal carefully with the personal information we collect and to do so in a manner consistent with your reasonable expectations.

By submitting this form you acknowledge that the personal information in this form will be made available to:

(a) the LMAP leaders involved in the running of the activities in which my child participates,

(b) Lower Mountains Anglican Parish's Staff, and

Authorisations & Expectations

I give permission for my child to attend all scheduled LMAP Children's programs I marked above, unless I advise the LMAP Children's program leaders otherwise.
I authorise the LMAP Children's leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.
I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in me and my child being sent home and being temporarily or permanently prohibited from attending the activities of LMAP Children's programs.
I will provide the LMAP Children's leaders with any information relevant to the well-being of my child prior to him or her attending an LMAP Children's program. This might include supporting documentation (eg: AVO, Family Court Order) if there is anyone who is legally restricted from seeing your child.
I give permission for photos/videos of my child taken at LMAP Children's events to be displayed publicly (online and in print) unless I advise the LMAP Children's program leaders otherwise.
I give permission for any online video meetings run by LMAP Children's programs to be recorded for internal compliance purposes.
I confirm that the information given in this form is true and correct, and will advise LMAP Children's leaders of any changes to this information.

By entering your name below, you confirm that the details provided in this form are accurate and you accept all of the conditions mentioned herein:

Your name: *