Holy Family Sunday Bible Classes

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Email *

Child's Full Name and Age. If more than one child, please use a comma, as shown in the example. Eg: Samuel 6, Joel 12 *

Name and Contact Number of Parent 1 / Guardian 1 *

Name and Contact Number of Parent 2 / Guardian 2 (If you are a single parent, please mention below) *

Emergency Contact Name and Mobile Number (not parent/guardian) *

Is your child allergic to anything? *

Any special requirements we need to be aware of? *

Do you give permission for your child to have photos or videos taken during this program for promotional purposes for Divine Kids and Divine Australia? (This includes but not limited to social media, TV, print media, church presentations etc.) *

Yes

As a parent/guardian or a person with authority of the child/children referred to in this enrolment form, I declare that the information provided for the purpose of this enrolment is true and correct and that I undertake to immediately inform Divine Kids (the event organiser) in the event of any change to this information. I consent for Divine Kids to retain this information for future Divine Kids events like retreats, Bible Quests etc. I agree to collect the child/children, referred to in this form, if they become unwell at the service. I acknowledge and accept the risks involved (for example: a fall when conducting activities) and I agree that Divine Kids will not be held liable for any loss of personal belongings and/or any personal injuries or damage caused during the event. *

I have read, understand and agree to all of the above.

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