Connect After School
Please complete the form below to register your child(ren) for the upcoming After School Programme based at All Saints' Church on the corner of Church Road and Puketapu Road in Taradale.

Times:     The programme will run every Tuesday of term time from 3pm to 5:15pm
Cost:        $2 per session, per child
Ages:       The programme is designed for Primary-Aged Children but talk to us if you have other need.

The programme will be a mixture of fun and games, afternoon tea, homework and reading support as well as arts and craft.

The programme will be overseen by a registered teacher and comes under the Child Safety and Protection Policy of the Anglican Diocese of Waiapu.
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Parent/Caregiver Name: *
Contact Phone Number *
Email Address *
Name of Child *
Child's Birthdate *
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Does your child have any allergies or medication we would need to be aware of? *
Additional Children's Name (ignore if not applicable)
Child's Birthdate *
MM
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DD
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YYYY
Does your child have any allergies or medication we would need to be aware of? *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Relationship to Child(ren)
Please read the following and tick to acknowledge *
Yes
No
That the programme runs from 3pm to 5:15pm and children must be collected before close of the programme.
Do you give permission for photos of your child to be included in communication, advertising and promotion of the programme.
That each session costs $2 which can either be paid on the day or pre-paid through the Church office
You have legal responsibility for the child(ren) you are enrolling and give permission for them to attend the programme at Taradale Anglican Church
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