mainly music Registration 2025 
Fridays - 9.30am to 11.00am - Cost $6.00 per child - $8.00 for a family
**Registration for 2025 must be completed in order to attend.
***Please bring morning tea for the children (No Nuts Allowed) 
**** Morning Tea provided for adults
Sign in to Google to save your progress. Learn more
Email *
Full Name of Person likely to attend with child. *
Mobile for Person named above *
What is this person's relationship with the child? *
Parent Name  *
Parent's Street Address *
Child 1 - Name *
Child 1 - DOB *
MM
/
DD
/
YYYY
Child 2 - Name
Child 2 - DOB
MM
/
DD
/
YYYY
Child 3 - Name
Child 3 - DOB
MM
/
DD
/
YYYY
Health Information - Do you or your child have any known allergies, medical conditions, disabilities and/or behavioural concerns that would be helpful for us to know?
 *
Name for Emergency Contact - This person must be different to the one who attends mainly music with the child.
 *
Mobile for Emergency Contact - This person must be different to the one who attends mainly music with the child. *
Consent - parents or guardians to complete 
I understand that during mainly music, parents/carers are expected to remain with and take responsibility for their child/ren. I know that although the team will take all reasonable care, there are still risks to manage.
 *
Required
From time-to-time photos/videos are taken of the fun we have at mainly music. These maybe shown occasionally to the members of St Marks Church who support this program. They will not be posted on the internet or social media. 

I consent to photos or videos being taken as specified above.
 *
A note on social media
Please do not post any photos or videos of other children at mainly music, unless you have permission from parents. Filming or posting entire songs is prohibited by mainly music. Please limit film footage to your child/ren only and to a short portion of the song. Thank you

Thank you for your registration for 2025 😊
This information is being collected for the express purpose of mainly music and to advise of church events.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of northbridgeanglican.org.au.

Does this form look suspicious? Report

Google Forms