Kids-registration — HOME CHURCH

Parent / Guardian

Your full name *

Relationship to child/ren *

Mobile *

Email *

Emergency contact name *

Relationship

Mobile *

Child details

Child 1

Full name *

Date of birth

Age *

Allergies?

No Yes — please describe

Medical conditions?

No Yes — please describe

Medications?

No Yes — please describe

Additional needs?

No Yes — please describe

Safety & consent

Authorised pickup persons *

Custody arrangements?

No Yes — I'll speak with the Kids Coordinator on our first Sunday

Photo consent

I consent to photos for internal church use only I do not consent to photos of my child/ren

HOME Church is committed to being a safe place for every child. All Kids Fellowship leaders hold a current WWCC. A minimum of two adults are present at all times. Read our Safe Church commitment →

I have read HOME Church's Safe Church commitment and understand how my child's information will be used *

Kids Fellowship Registration

Thank you — your child/ren are registered.