Are you of aboriginal or Torres Strait Islander Origin? *
Child's Name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Allergies *
Your answer
Child's Name
Your answer
Date of birth
MM
/
DD
/
YYYY
Allergies
Your answer
Child's Name
Your answer
Date of birth
MM
/
DD
/
YYYY
Allergies
Your answer
I am aware that Karingal Neighbourhood Centre is a not-for-profit group. All sessions are run by parents/careers that kindly volunteer their time but may have no formal qualifications. I understand that Playgroup is a time for parents and children to play together and I am ultimately responsible for the safety and wellbeing of my family during these sessions. *
I give permission for Karingal Neighbourhood Centre to use photos of my child(ren) in Social media, Karingal website, The newsletter, Advertising posters, brochures, and/or newspapers *