Rope Factory Youth Group Registration
It will be great to see your child join the RFC Youth Group. In order for us to provide the best level of care while your child is under our supervision, we require that you fill out the registration form below for each child. The information provided below will be treated confidentially within the RFC youth leadership and RFC elders.
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Email *
Personal Details
Child's First Name *
Child's Surname *
Child's Gender *
Required
Child's Date of Birth *
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Child's Address *
Child's Phone Number (if they have one)
Please list names of people who may collect the child at the end of the program *
Emergency Contacts & Health Info
Please provide the name, relationship to child, and contact phone number of two people.
Emergency Contact 1 details including phone number *
Emergency Contact 2 details including phone number *
Child's Medicare Number *
Child/Family's Ambulance Cover Number *
Please provide details of any allergies that we should know about. Please give information about the severity of the allergy (mild, moderate, severe or anaphylactic).  *
Please provide details of any further medical conditions that we should know about (e.g. asthma, diabetes, vision/hearing impairment, ADHD, ASD). *
Consents
Do you consent to Rope Factory Church contacting your child about youth/church related activities via email/text/social media? *
Do you consent to appropriate use by Rope Factory Church of photos of your child (e.g. newsletters, website)? *
Required
Name of Parent/Legal Guardian *
Date *
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DONATION
If you are able to give an annual donation of $50 for your child, that would help with the costs of running youth group! It's optional - but much appreciated if you can. Click here to donate: http://bit.ly/rfcgive. THANKS!
A copy of your responses will be emailed to the address you provided.
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