Details for childcare, PyCon AU 2019
This form is to gather details of children attending child care. Filling out this form does NOT register your child for child care - to do that, you should add child care to your conference registration when you buy tickets.

You should fill out this form once per child. (Parent's contact details can be left blank on repeated submissions as long as the names are obviously the same parents).

Email address *
Child's full name *
Your answer
Child's age *
Your answer
Which days will the child be attending? *
Required
Is the child up to date with immunisations?
Attendee's name *
The name(s) of any parents or guardians of this child who are attending the conference.
Your answer
Dietary or special needs
Describe any special needs your child has, such as dietary intolerances, or any medical issues that carers need to be aware of. You can enter multiple lines here.
Your answer
Further information for carers
You can add any further information that would help carers look after your child. For instance, you may like to add sleep schedules, feeding schedules, or favourite activities. You can enter multiple lines here.
Your answer
Contact details - Contact 1
Please provide details of someone who can be contacted regarding this child. This may be parent attending the conference. If you are filling out this form multiple times for multiple children, and the responses would be the same for all children, then you only need to fill this section out once.
Name
Your answer
Phone number
Please provide a phone number that will be contactable during conference hours.
Your answer
Relationship to child
Your answer
Will this person be attending the conference?
Is this person authorised to collect the child from child care?
Is this person authorised to make medical decisions regarding the child?
Contact details - Contact 2
Please provide details of a second contact for this child. If you are filling out this form multiple times for multiple children, and the responses would be the same for all children, then you only need to fill this section out once.
Name
Your answer
Phone number
Please provide a phone number that will be contactable during conference hours.
Your answer
Relationship to child
Your answer
Will this person be attending the conference?
Is this person authorised to collect the child from child care?
Is this person authorised to make medical decisions regarding the child?
A copy of your responses will be emailed to the address you provided.
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