CBC The Table Online Permission and Information Form

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Please fill out this form to indicate that you are willing for your child to participate in The Table's online activity. This includes joining a group messaging application called "Discord", being involved in group video calls through the "Zoom" platform and participating in various online games. Further details, including safe child practices, outlined below. Please call Pastor Daniel on 0433 029 455 if you have any questions, queries or trouble filling out this form.

Details of Parent/Guardian Filling Out This Form

First Name *

Last Name *

Email Address *

Phone Number *

House Address *

Details of Child

First Name of Child *

Last Name of Child *

Child Date of Birth *

Are you filling out this form for more than one child? *

No, only one child

Yes, more than one child

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