Kids & Youth

Parent/Caregivers Name

First Name

Last Name

Parent/Caregivers Email

Parent/Caregivers Phone Number

This is the number you will need to have available during church

Child/s Name & Date of Birth

Your child will be enrolled into the appropriate age group program. Sparks ages 1-4, Powerzone ages 5-12

Does your child have any Allergies?

Yes or No. If yes please state what they are and how you would like them dealt with

I can help in kids church once a month

Yes

If yes, which service would suit you best?

All volunteers will need to be police vetted

9am Service

10.30am Service

Media Permission

I give permission for my child/s photo to be used for church website/social media/printed publication/video's

Yes

Please read the following and tick yes below if you agree

I will sign my child in and out for each session they attend. I understand that if my child becomes upset or disruptive the leaders will text me during church to come and see/take my child.

Yes

Elim Kids Team

You will be required to sign the printed out digital copy of your enrollment form on arrival to Elim Kids. Elim Church is collecting this information to be able to communicate with you and for administration purposes. Then information will only be accessed by necessary church staff and volunteers. This information will be stored securely, not distributed to any 3rd party, and you have the right to correct the information.

KIDS
&
YOUTH

ELIM KIDS

SPARKS

AGES 1-4

POWER ZONE

Ages 5-12

Oxygen Youth