Registration Form
Dynamite Bay is our children's programme that runs at the same time as our Sunday service. It is for children aged 5 to 12 years old- full of action, fun, and friendship. Each term, we explore a theme that interlinks with the Christian message and each child joins a group with some our awesome leaders. Dynamite Bay also involved leadership training for intermediates and teens, school holiday camps, sleepovers, and loads of adventures. Come join us every Sunday during the school term from 10.30am-11:30am. This terms theme is "Ocean Commotion".
Child's name *
First and Last
Child's date of birth *
MM
/
DD
/
YYYY
Child's Gender *
Child's name
First and last
Child's date of birth
MM
/
DD
/
YYYY
Child's Gender
Clear selection
Child's name
Child's date of birth
MM
/
DD
/
YYYY
Child's Gender
Clear selection
Parent Information
If you have more than one child attending the program, please fill in "other children in my care" section on all forms and then only fill out parent details for the oldest child.
Parents/Guardians Name: *
Address
Email Address
Home Phone
Mobile Phone
Alternative Contacts
Please include at least one other alternative contact on your eldest child's form
Contact 1 Name
Contact 1 Phone Number
Contact 1 Mobile Number
Contact 2 Name
Contact 2 Phone Number
Contact 2 Mobile Number
Medical/Special Requirements
Please fill in this section for all children
Medical requirements *
Please include any allergies, medical needs or special care that the leaders should be aware of. If you do not have any please respond N/A.
Child's Doctor Information *
Please include doctors name, practice, and phone number
Do you give permission for your child's photo to be displayed in the church/ newspaper/ Facebook? *
Required
Do you give permission for your child to be transported by vehicle to different venues? *
Declaration
Parent Declaration *
Required
Name & Data *
Submit
Never submit passwords through Google Forms.
This form was created inside of Knox Waitara. Report Abuse