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Youth
Children
About Our Church
Our Team
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Calendar
DiG rego form
The information in this form is requested to assist in case of any illness or accident. The leadership team at DiG will always endeavour to contact you in case of emergency and we may need to share this information with emergency services. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please do not hesitate to contact us.
Name of Child
*
First Name
Last Name
Date of birth
MM
DD
YYYY
Carer's Email
*
Carer 1 name
*
Carer 1 Relationship to child
Carer 1 Phone
*
Carer 2 name
Carer 2 Relationship to child
Carer 2 Phone
Is there anything we should be aware of? e.g. allergies, conditions, custodial issues
Permissions
I hereby consent to the child listed to attend DiG at Gerringong Uniting Church. I authorise the leaders, where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leader may deem necessary. I further authorise the use of an ambulance if, in the leaders’ judgement, it is necessary. I accept responsibility for payment of all expenses associated with such treatment. I appreciate that every care will be taken by the leaders and that they and others connected with DiG cannot be held responsible for personal injury, loss or theft of property affecting my child. I accept responsibility for the declaration above. I give permission for my child to be filmed or photographed during DiG for promotional purposes. I give permission for my personal details and information to be kept confidentially and used by Gerringong Uniting Church. By clicking "I agree & submit" you are giving assent and permission for the above.
Thank you for filling in our Rego Form. We look forward to lots of fun with your young person!