GOYD19
GREEK ORTHODOX YOUTH DAY 2ND JULY 2019
St John's College, Preston. 9.15am-4pm
FAMILY DETAILS
PLEASE COMPLETE A REGISTRATION FORM FOR EACH CHILD (ALTHOUGH ONLY ONE PAYMENT IS NECESSARY). They are quick and simple and should only take a few minutes for each form. You can register as many children as you like, at the end of each registration you will be given the option to fill in another form.
SURNAME of child being registered *
GIVEN NAME of child being registered *
Date of Birth *
MM
/
DD
/
YYYY
What year level is your child currently completing at school? *
Confidential Medical Report: The information below is requested to assist in case of any illness or accident. This information will be held in confidence. Please select if your child suffers from any of the following: *
Required
*Please provide a copy of your child's asthma/allergy/anaphylaxis action plan PRIOR to the day and any medication must be brought on the day and handed to the attending first aid officer.
Is your child currently taking any medication?
If yes, does your child self administer?
Does your child have any physical or special needs? Is there anything else you would like to let us know?
FAMILY AND EMERGENCY CONTACT DETAILS
Best Family Contact Number *
Best Family Contact Email *
Address
Emergency Contact 1 (name and number) *
Emergency Contact 2 (name and number) *
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