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Erica and Joel
Gordon
Sharayah
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Kids Registration
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Berry Kids Registration
This form is to be completed by the parent or guardian of the child attending Berry Kids. (Please fill out one per child.)
Child Information
*
Indicates required field
First Name
*
Surname
*
Grade
*
Date Of Birth
*
Gender
*
Male
Female
School
*
Address
*
Suburb
*
Postcode
*
Parent /Guardian Information
Parent 1 Name
*
Phone number
*
Email
*
Parent 2 Name
*
Email
*
Phone number
*
Medical Information
Allergies/Medications
*
Please indicate Y/N
I agree to photographs and videos of activities including my child to be taken for use within the church community (noticeboards, newsletter etc).
*
Yes
No
I agree to photographs and short videos of activities including my Youth to be taken for use within the church community.
I agree to photographs or videos including my child to be used on social media, website and brochures.
*
Yes
No
I give permission for
Name Of Child
*
to be in Berry Kids programs with approved leaders from South Coast Life Church
Name (Parent/Guardian)
*
Date
*
Submit
About us
Purpose & culture
Pastoral team
>
Erica and Joel
Gordon
Sharayah
Affiliation
Policies
News & Events
Serve
Next Steps
Community
Connect Groups
Youth
>
Youth Registration
BerryKids
>
Kids Registration
Let's Play
Prayer
Giving
Contact us
Inside SCLC
Induction