Parent or Guardian 1

Parent or Guardian filling out this form.

Authorisations & Expectations

By agreeing to the indemnity below:

  • I give permission for my child to participate fully in all activities associated with Dapto Anglican Church (Connect Kids), unless I advise the Connect Kids leaders otherwise.
  • I give permission for my child to travel in a car driven by an approved Connect Kids leader or a parent approved, unless I advise the Connect Kids leaders otherwise. (Your child will not be in a car driven by a learner or provisional license holder).
  • I authorise the Connect Kids 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 behavior may result in my child being sent home and being temporarily or permanently prohibited from attending the activities of Connect Kids.
  • I will provide the Connect Kids leaders with any information relevant to the wellbeing of my child prior to him or her attending a Connect Kids activity.
  • I give consent for photos and videos to be taken of my child throughout Connect Kids activities and for them to be displayed publicly in print media and on social media.
  • I give consent for our family to be contacted by Connect Kids leaders by mail, phone, or pre-arranged home visit, unless I advise the Connect Kids leaders otherwise.
  • I confirm that the information given in this form is true and correct, and will advise the Connect Kids leaders of any changes to this information.
  • Your personal information is confidential and will be stored in a securely hosted third-party application. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please feel free to contact us on 4261 1001.

Parent or Guardian 2

Emergency Contact

Someone to contact in a situation where a parent or guardian cannot be contacted.

Child's Information

Access

Tip: Please explain who, and their relationship to the child.

Health Information

Swimming

Connect Kids Groups