Next Gen Registration • GBC Links

Gymea Baptist Church Playtime, Children and Youth Registration form

Please fill in the following details to provide important information regarding your family's safe involvement in the Gymea Baptist Church Playtime, Children's and Youth activities. A leader of your chosen activities may contact you to provide further information.

Are you?

Visiting for the first time

Visiting again

New to GBC/Playtime/Edge/Youth

Updating our families details

Parent / Carer Details

First Name *

Relationship to child/ren *

Tip: If other please explain at other information section at the bottom of the form

Last Name *

Mobile Number *

Email Address *

Add Another Parent

First Name *

Relationship to child/ren

Tip: If other please explain at other information section at the bottom of the form

Last Name *

Mobile Number

Email Address

Do you or your family regularly attend a church? *

Yes

If another church, which one?

Service/s attended

9:30am

6pm

Online

None

Emergency Contact

Emergency Contact Name *

Tip: alternative to parents/regular caregiver in case of incident/injury to child or caregiver

Relationship *

Emergency Phone *

Children's Details

Additional Children

Add another child (child 2)

yes

First Name

Last Name

Date of Birth

Gender

Mobile Number

School Name

School grade

If not yet at school, what year do you currently intend to send them?

Which ministries do you wish to register this child for?

Kidzone (0-year 7)

Playtime (Prior to school aged)

Edge (years 5-6)

Youth (years 7-12)

Add another child (child 3)

yes

First Name

Last Name

Date of Birth

Gender

Mobile Number

School Name

School Grade

If not yet at school, what year do you currently intend to send them?

Which ministries do you wish to register this child for?

Kidzone (0-year 7)

Playtime (Prior to school aged)

Edge (years 5-6)

Youth (years 7-12)

Add another child (child 4)

yes

First Name

Last Name

Date of Birth

Gender

Mobile Number

School Name

School Grade

If not yet at school, what year do you currently intend to send them?

Which ministries do you wish to register this child for?

Kidzone (0-year 7)

Playtime (Prior to school aged)

Edge (years 5-6)

Youth (years 7-12)

Add another child (child 5)

yes

First Name

Last Name

Date of Birth

Gender

Mobile Number

School Name

School Grade

If not yet at school, what year do you currently intend to send them?

Which ministries do you wish to register this child for?

Kidzone (0-year 7)

Playtime (Prior to school aged)

Edge (years 5-6)

Youth (years 7-12)

Add another child (child 6)

yes

First Name

Last Name

Date of Birth

Gender

Mobile Number

School Name

School Grade

If not yet at school, what year do you currently intend to send them?

Which ministries do you wish to register this child for?

Kidzone (0-year 7)

Playtime (Prior to school aged)

Edge (years 5-6)

Youth (years 7-12)

Add another child (child 7)

yes

First Name

Last Name

Date of Birth

Gender

Mobile Number

School Name

School Grade

If not yet at school, what year do you currently intend to send them?

Which ministries do you wish to register this child for?

Kidzone (0-year 7)

Playtime (Prior to school aged)

Edge (years 5-6)

Youth (years 7-12)

Disclaimer

Your child(ren)'s experience In our church and/or ministry may be captured both in photograph and video.

By stating Yes, Gymea Baptist Church reserves the right to use this material (untagged) for internal publications e.g. notice board displays or PowerPoint presentations within the church

Your consent can also allow Gymea Baptist Church the right to use this material (untagged) in external publications e.g. social media and the church website.

Do you allow your child's photographs to be used as above?

Do you consent to first aid being administered and/or an ambulance being called if deemed appropriate by a leader? Please note payment is the responsibility of the family.

Parent / Guardian signature *

Tip: Please type your name to act as signing of this form

Date *

Include information regarding kids attending Edge/Youth *

yes

Tip: Additional disclaimers for Edge and Youth must be signed where applicable

Edge/Youth child collection details

Only those detailed on this form may collect my child/ren.

Others may collect my child as detailed (give details in the "any other comments" box below or directly in writing)

My child may walk/ride home from Edge/Youth

My licensed child may drive themself home from youth

By adding my name and date, I consent to my child participating in GBC Youth activities. I am aware that this may include follow up procedures with the young person that may include social media, phone calls and messages, or face-to-face with GBC Youth Leadership Team. I am aware that should I wish for information regarding GBC policies in this area I can ask the Youth Coordinator to provide me with this information.

Parent/Guardian Full Name

Date

Would you like information on the following?

Church Services

Life Groups (bible study)

Volunteering

Other

Tip: If you are looking to find out more about how you can get involved in our church community.

Any Other Comments